Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $478.63	Professional		$107.15	$158.49	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $338.84	Professional		$112.20	$112.20	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $186.21 / $891.25	Facility		$151.36	$186.21	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $309.03	Professional		$147.91	$181.97	$309.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $380.19	Professional		$134.90	$194.98	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $346.74	Professional		$131.83	$177.83	$346.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $173.78	Professional		$120.23	$128.82	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $363.08	Professional		$107.15	$131.83	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $263.03	Facility		$114.82	$154.88	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $346.74	Professional		$131.83	$181.97	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $181.97	Professional		$104.71	$120.23	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $263.03	Professional		$107.15	$144.54	$263.03