Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.63 / $112.63 / $122.62	Facility		$112.63	$112.63	$122.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $145.16 / $485.00	Professional		$103.36	$145.16	$485.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $156.99 / $269.17	Professional		$113.21	$156.99	$269.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.22 / $155.22 / $175.77	Facility		$155.22	$155.22	$175.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $161.02 / $275.30	Professional		$123.10	$161.02	$275.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $132.96 / $317.11	Professional		$100.00	$132.96	$317.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.99 / $158.97 / $349.08	Professional		$119.99	$158.97	$349.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $131.60 / $177.66	Professional		$104.41	$131.60	$177.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $148.04 / $312.00	Professional		$110.33	$148.04	$312.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.35 / $538.90 / $582.29	Facility		$263.35	$538.90	$582.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.00 / $1,082.00 / $1,082.00	Professional		$1,082.00	$1,082.00	$1,082.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.61	Professional		$32.34	$32.34	$173.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.14 / $144.91 / $210.10	Facility		$107.14	$144.91	$210.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $178.78 / $326.17	Professional		$124.02	$178.78	$326.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.72 / $323.72 / $323.72	Professional		$323.72	$323.72	$323.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $146.19 / $146.19	Professional		$106.32	$146.19	$146.19
United Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $129.51 / $288.64	Professional		$95.64	$129.51	$288.64