Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $85.74 / $2,042.03	Facility		$75.05	$85.74	$2,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $75.05 / $116.26	Professional		$62.13	$75.05	$116.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $75.73	Professional		$70.62	$70.62	$75.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.55 / $101.01 / $266.02	Facility		$83.55	$101.01	$266.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $94.71 / $173.60	Professional		$69.37	$94.71	$173.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $86.27 / $138.13	Professional		$65.73	$86.27	$138.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $99.00 / $219.10	Professional		$75.72	$99.00	$219.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $91.96 / $116.84	Professional		$71.19	$91.96	$116.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $81.52 / $148.00	Professional		$63.54	$81.52	$148.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $368.17 / $368.17	Facility		$339.11	$368.17	$368.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $475.79 / $475.79 / $530.02	Professional		$475.79	$475.79	$530.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.03 / $88.37 / $121.46	Facility		$67.03	$88.37	$121.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $97.89 / $219.10	Professional		$74.70	$97.89	$219.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $215.82 / $215.82 / $215.82	Professional		$215.82	$215.82	$215.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $92.88 / $121.02	Professional		$76.00	$92.88	$121.02
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $93.01 / $296.75	Professional		$65.23	$93.01	$296.75