Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $512.86	Professional		$102.33	$239.88	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $309.03	Professional		$112.20	$114.82	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $794.33	Facility		$134.90	$165.96	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $275.42	Professional		$128.82	$162.18	$275.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $338.84	Professional		$117.49	$169.82	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $309.03	Professional		$117.49	$158.49	$309.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $154.88	Professional		$104.71	$117.49	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $309.03	Professional		$97.72	$117.49	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,071.52 / $1,071.52	Professional		$151.36	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $239.88	Facility		$104.71	$141.25	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $309.03	Professional		$117.49	$162.18	$309.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $154.88	Professional		$95.50	$107.15	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $239.88	Professional		$97.72	$131.83	$239.88