Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.93 / $187.86 / $919.21	Facility		$91.93	$187.86	$919.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $92.25 / $10,303.20	Professional		$91.34	$92.25	$10,303.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $91.02 / $91.02	Professional		$89.39	$91.02	$91.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $145.90 / $357.91	Facility		$96.90	$145.90	$357.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $94.46 / $200.08	Professional		$91.02	$94.46	$200.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $95.64 / $130.13	Facility		$77.09	$95.64	$130.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $97.71 / $214.99	Professional		$93.06	$97.71	$214.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $86.17 / $91.34	Facility		$86.17	$86.17	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $115.07	Professional		$91.34	$91.34	$115.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $89.39 / $119.10	Professional		$88.22	$89.39	$119.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $109.61 / $190.00	Professional		$82.21	$109.61	$190.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.91 / $446.95 / $456.70	Facility		$118.91	$446.95	$456.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.52 / $389.52 / $389.52	Professional		$389.52	$389.52	$389.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $180.85 / $180.85	Professional		$60.00	$180.85	$180.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $94.99 / $155.33	Facility		$91.34	$94.99	$155.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $112.84	Professional		$91.34	$91.34	$112.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $139.33 / $139.33	Professional		$139.33	$139.33	$139.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $91.34 / $137.01	Professional		$73.06	$91.34	$137.01
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $175.85	Professional		$91.34	$91.34	$175.85