Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $133.21 / $318.60	Professional		$115.22	$133.21	$318.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $163.18 / $163.18	Professional		$163.18	$163.18	$163.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $14.10 / $299.08	Facility		$12.73	$14.10	$299.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $165.08 / $362.40	Professional		$140.97	$165.08	$362.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $445.34 / $445.34 / $445.34	Facility		$445.34	$445.34	$445.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $298.82	Professional		$100.00	$100.00	$298.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $298.82	Facility		$126.72	$126.72	$298.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $226.80	Professional		$107.71	$126.72	$226.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $236.80 / $284.16	Professional		$236.80	$236.80	$284.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.05 / $203.06 / $391.62	Professional		$174.05	$203.06	$391.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $313.52 / $908.34 / $908.34	Facility		$313.52	$908.34	$908.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $164.35 / $376.16	Facility		$119.48	$164.35	$376.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $210.00	Professional		$107.71	$126.72	$210.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $420.65 / $420.65 / $420.65	Professional		$420.65	$420.65	$420.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $140.22 / $236.80	Professional		$140.22	$140.22	$236.80
United Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $128.33 / $234.26	Professional		$111.19	$128.33	$234.26