Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $262.74 / $574.17	Facility		$20.21	$262.74	$574.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $74.38 / $97.61	Professional		$42.37	$74.38	$97.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $68.66 / $114.43	Professional		$38.22	$68.66	$114.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.38 / $259.83 / $581.29	Facility		$125.38	$259.83	$581.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $119.01 / $179.04	Professional		$45.77	$119.01	$179.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $109.52 / $725.86	Facility		$59.90	$109.52	$725.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $51.96 / $100.00	Professional		$36.36	$51.96	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $150.25 / $368.92	Facility		$62.41	$150.25	$368.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $80.48 / $158.44	Professional		$60.16	$80.48	$158.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $114.43 / $125.87	Professional		$63.95	$114.43	$125.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $114.43 / $200.25	Professional		$91.54	$114.43	$200.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $543.54 / $543.54	Facility		$183.09	$543.54	$543.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $143.04 / $226.60	Professional		$102.99	$143.04	$226.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $162.15 / $346.61	Facility		$74.38	$162.15	$346.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $79.94 / $114.43	Professional		$58.99	$79.94	$114.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $353.58 / $353.58 / $353.58	Professional		$353.58	$353.58	$353.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $91.54 / $108.72	Professional		$65.23	$91.54	$108.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $48.06 / $192.99	Professional		$33.57	$48.06	$192.99