Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.52 / $433.79 / $1,045.60	Facility		$124.52	$433.79	$1,045.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $141.13 / $199.81	Professional		$108.97	$141.13	$199.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $66.38 / $119.24	Professional		$66.38	$66.38	$119.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $404.75 / $979.79	Facility		$203.00	$404.75	$979.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $244.68 / $371.86	Professional		$45.77	$244.68	$371.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $227.46 / $1,507.55	Facility		$59.90	$227.46	$1,507.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $107.92 / $169.82	Professional		$75.54	$107.92	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $202.64 / $650.41	Facility		$82.50	$202.64	$650.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $207.38 / $274.69	Professional		$60.16	$207.38	$274.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $198.74 / $218.61	Professional		$132.82	$198.74	$218.61
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.99 / $198.74 / $387.54	Professional		$158.99	$198.74	$387.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $317.98 / $944.02 / $944.02	Facility		$317.98	$944.02	$944.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $227.93 / $350.70	Professional		$178.87	$227.93	$350.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $296.60 / $601.98	Facility		$101.78	$296.60	$601.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $157.72 / $198.74	Professional		$60.16	$157.72	$198.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $614.10 / $614.10 / $614.10	Professional		$614.10	$614.10	$614.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $158.99 / $198.74	Professional		$135.47	$158.99	$198.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $83.47 / $335.18	Professional		$69.73	$83.47	$335.18