Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.33 / $122.33 / $133.72	Facility		$122.33	$122.33	$133.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $145.88 / $558.90	Professional		$115.60	$145.88	$558.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $147.69 / $188.97	Professional		$147.69	$147.69	$188.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.42 / $186.42 / $211.11	Facility		$186.42	$186.42	$211.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $210.60 / $404.76	Professional		$148.90	$210.60	$404.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $355.25 / $355.25 / $355.25	Facility		$355.25	$355.25	$355.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $161.03 / $379.62	Professional		$109.27	$161.03	$379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $188.96 / $417.62	Professional		$140.51	$188.96	$417.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $154.65 / $208.78	Professional		$122.00	$154.65	$208.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $177.85 / $367.61	Professional		$131.44	$177.85	$367.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.37 / $634.28 / $684.76	Facility		$309.37	$634.28	$684.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,352.50	Professional		$1,352.50	$1,352.50	$1,352.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $203.59	Professional		$32.34	$32.34	$203.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.33 / $170.41 / $247.44	Facility		$122.33	$170.41	$247.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $214.01 / $382.59	Professional		$146.65	$214.01	$382.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $379.73 / $379.73 / $379.73	Professional		$379.73	$379.73	$379.73
United Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $152.81 / $338.62	Professional		$114.77	$152.81	$338.62