Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $512.86	Professional		$51.29	$74.13	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $162.18	Professional		$117.49	$117.49	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $281.84	Professional		$61.66	$109.65	$281.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $251.19	Facility		$194.98	$194.98	$251.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $501.19	Professional		$75.86	$131.83	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Facility		$91.20	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $158.49	Professional		$77.62	$91.20	$158.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $154.88	Professional		$128.82	$128.82	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $194.98	Professional		$97.72	$112.20	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $645.65 / $645.65	Facility		$208.93	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $169.82	Facility		$53.70	$97.72	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $117.49	Professional		$77.62	$91.20	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Professional		$109.65	$109.65	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $47.86 / $85.11	Facility		$5.37	$47.86	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $141.25	Professional		$57.54	$74.13	$141.25