Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.95 / $73.31 / $278.48	Facility		$63.95	$73.31	$278.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $109.56 / $335.00	Professional		$61.85	$109.56	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $132.57 / $142.36	Professional		$68.05	$132.57	$142.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $90.39 / $238.06	Facility		$74.76	$90.39	$238.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $112.76 / $218.96	Professional		$77.83	$112.76	$218.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $78.06 / $181.55	Professional		$63.84	$78.06	$181.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $97.53 / $210.38	Professional		$71.12	$97.53	$210.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $79.01 / $106.66	Professional		$59.20	$79.01	$106.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $87.63 / $185.00	Professional		$66.29	$87.63	$185.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.15 / $323.95 / $349.84	Facility		$158.15	$323.95	$349.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $649.20 / $649.20 / $649.20	Professional		$649.20	$649.20	$649.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $103.96	Professional		$32.34	$32.34	$103.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $88.38 / $126.42	Facility		$63.68	$88.38	$126.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $114.55 / $194.08	Professional		$72.22	$114.55	$194.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $194.30 / $194.30	Professional		$194.30	$194.30	$194.30
United Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $78.37 / $203.37	Professional		$58.58	$78.37	$203.37