Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $251.19 / $616.60	Facility		$31.62	$251.19	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $158.49	Professional		$57.54	$85.11	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $70.79	Professional		$38.02	$48.98	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $269.15 / $575.44	Facility		$52.48	$269.15	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $125.89 / $199.53	Professional		$31.62	$125.89	$199.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $213.80 / $776.25	Facility		$69.18	$213.80	$776.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $165.96	Professional		$46.77	$67.61	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $194.98 / $380.19	Facility		$67.61	$194.98	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $147.91	Professional		$38.02	$60.26	$147.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $125.89	Professional		$64.57	$114.82	$125.89
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $223.87	Professional		$91.20	$114.82	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $229.09	Professional		$97.72	$131.83	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $128.82 / $302.00	Facility		$72.44	$128.82	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $114.82	Professional		$60.26	$60.26	$114.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $114.82	Professional		$64.57	$89.13	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $114.82	Facility		$51.29	$63.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $204.17	Professional		$33.88	$47.86	$204.17