Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $71.75 / $281.75	Facility		$66.27	$71.75	$281.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $68.86 / $225.94	Professional		$57.87	$68.86	$225.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $73.36 / $245.55 / $451.88	Professional	25	$73.36	$245.55	$451.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $73.36 / $117.11	Professional		$67.56	$73.36	$117.11
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $101.24 / $101.24 / $101.24	Professional	25	$101.24	$101.24	$101.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.21 / $123.25 / $139.07	Facility		$106.21	$123.25	$139.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $121.58 / $209.64	Professional		$68.56	$121.58	$209.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.29 / $73.36 / $79.17	Facility		$72.29	$73.36	$79.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $81.56 / $189.63	Professional		$58.80	$81.56	$189.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $94.80 / $94.80	Facility		$86.21	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $107.40 / $202.40	Professional		$72.95	$107.40	$202.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $79.63 / $106.88	Professional		$62.64	$79.63	$106.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $87.06 / $140.86	Professional		$66.02	$87.06	$140.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $320.91 / $348.46 / $348.46	Facility		$320.91	$348.46	$348.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.62 / $450.62 / $454.95	Professional		$450.62	$450.62	$454.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $61.57	Professional		$32.34	$32.34	$61.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $86.53 / $121.69	Facility		$63.97	$86.53	$121.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $129.07 / $194.12	Professional		$76.93	$129.07	$194.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $193.74 / $193.74 / $194.71	Professional		$193.74	$193.74	$194.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $87.95 / $88.46	Professional		$63.96	$87.95	$88.46
United Facility/Professional Facility Modifier Low / Median / High Price $81.54 / $81.54 / $81.54	Facility		$81.54	$81.54	$81.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $78.25 / $174.21	Professional		$57.47	$78.25	$174.21
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07