Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $500.77 / $1,303.16	Facility		$161.41	$500.77	$1,303.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $178.64 / $339.09	Professional		$89.05	$178.64	$339.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $82.47 / $148.15	Professional		$82.47	$82.47	$148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $494.16 / $1,217.32	Facility		$244.00	$494.16	$1,217.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $320.33 / $482.06	Professional		$45.77	$320.33	$482.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $294.87 / $1,954.29	Facility		$59.90	$294.87	$1,954.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $139.90 / $220.15	Professional		$97.93	$139.90	$220.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.33 / $250.38 / $808.12	Facility		$94.33	$250.38	$808.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $199.86 / $341.73	Professional		$60.16	$199.86	$341.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $172.18 / $246.92 / $271.61	Professional		$172.18	$246.92	$271.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $246.92 / $432.11	Professional		$197.54	$246.92	$432.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $395.07 / $1,172.86 / $1,172.86	Facility		$395.07	$1,172.86	$1,172.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $222.23 / $283.25 / $435.81	Professional		$222.23	$283.25	$435.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $368.49 / $747.93	Facility		$101.78	$368.49	$747.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $204.47 / $246.92	Professional		$60.16	$204.47	$246.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $762.98 / $762.98 / $762.98	Professional		$762.98	$762.98	$762.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $175.62 / $197.54 / $246.92	Professional		$175.62	$197.54	$246.92
United Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $103.71 / $416.43	Professional		$90.40	$103.71	$416.43