Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.24 / $481.09 / $902.39	Facility		$92.24	$481.09	$902.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $104.54 / $148.01	Professional		$85.59	$104.54	$148.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $52.30 / $93.95	Professional		$52.30	$52.30	$93.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $321.04 / $784.52	Facility		$169.00	$321.04	$784.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $183.05 / $275.45	Professional		$45.77	$183.05	$275.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $168.50 / $1,116.75	Facility		$59.90	$168.50	$1,116.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $79.94 / $125.79	Professional		$55.96	$79.94	$125.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.33 / $160.81 / $512.46	Facility		$94.33	$160.81	$512.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $163.50 / $216.56	Professional		$82.33	$163.50	$216.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $156.59 / $172.25	Professional		$98.39	$156.59	$172.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.27 / $156.59 / $305.35	Professional		$125.27	$156.59	$305.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.54 / $743.80 / $743.80	Facility		$250.54	$743.80	$743.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $179.68 / $276.44	Professional		$140.93	$179.68	$276.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $233.69 / $474.29	Facility		$101.78	$233.69	$474.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $120.57 / $156.59	Professional		$78.38	$120.57	$156.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $483.86 / $483.86 / $483.86	Professional		$483.86	$483.86	$483.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $125.27 / $156.59	Professional		$100.36	$125.27	$156.59
United Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $65.77 / $264.08	Professional		$51.66	$65.77	$264.08