Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.54 / $104.54 / $114.03	Facility		$104.54	$104.54	$114.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.19 / $144.38 / $457.92	Professional		$98.19	$144.38	$457.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $259.19 / $259.19	Professional		$120.92	$259.19	$259.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $168.95	Facility		$149.19	$149.19	$168.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $167.43 / $301.58	Professional		$122.38	$167.43	$301.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $310.17	Professional		$100.00	$131.83	$310.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $152.66 / $335.80	Professional		$114.20	$152.66	$335.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $126.70 / $171.05	Professional		$98.63	$126.70	$171.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $142.61 / $313.19	Professional		$106.25	$142.61	$313.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $253.38 / $519.25 / $560.79	Facility		$253.38	$519.25	$560.79
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 / $166.91	Professional		$32.34	$32.34	$166.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.92 / $139.54 / $202.28	Facility		$102.92	$139.54	$202.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $171.75 / $313.50	Professional		$118.78	$171.75	$313.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $311.01 / $311.01	Professional		$311.01	$311.01	$311.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.36 / $140.75 / $140.75	Professional		$102.36	$140.75	$140.75
United Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $125.06 / $280.52	Professional		$93.92	$125.06	$280.52