Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $117.49 / $323.59	Facility		$56.23	$117.49	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $194.98	Professional		$60.26	$81.28	$194.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.18 / $85.11 / $263.03	Professional	25	$69.18	$85.11	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $134.90	Professional		$58.88	$72.44	$134.90
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $61.66 / $75.86 / $109.65	Professional	25	$61.66	$75.86	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $154.88	Facility		$114.82	$141.25	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $199.53	Professional		$85.11	$138.04	$199.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Facility		$66.07	$66.07	$69.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $204.17	Professional		$81.28	$107.15	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Facility		$100.00	$100.00	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $204.17	Professional		$72.44	$107.15	$204.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $123.03	Professional		$69.18	$83.18	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $144.54	Professional		$64.57	$91.20	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $524.81 / $524.81	Professional		$91.20	$524.81	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $117.49	Professional		$70.79	$75.86	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $144.54	Facility		$64.57	$91.20	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $208.93	Professional		$75.86	$120.23	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $223.87	Professional		$204.17	$204.17	$223.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $114.82	Professional		$60.26	$83.18	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $154.88	Professional		$63.10	$89.13	$154.88