Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $691.83	Facility		$66.07	$74.13	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $616.60	Professional		$74.13	$107.15	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.79 / $67.61	Facility		$11.75	$14.79	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $467.74	Professional		$91.20	$131.83	$467.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $295.12 / $489.78	Facility		$97.72	$295.12	$489.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $389.05 / $575.44	Professional		$141.25	$389.05	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $162.18	Facility		$120.23	$120.23	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $194.98	Professional		$102.33	$102.33	$194.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Professional		$141.25	$141.25	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $389.05	Professional		$131.83	$199.53	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $812.83 / $812.83	Facility		$269.15	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $109.65 / $144.54	Professional		$14.45	$109.65	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $181.97	Professional		$18.62	$18.62	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $165.96	Facility		$77.62	$120.23	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $134.90	Professional		$102.33	$102.33	$134.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $239.88	Professional		$131.83	$154.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $58.88 / $102.33	Facility		$7.41	$58.88	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $213.80	Professional		$79.43	$95.50	$213.80