Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $158.26 / $6,599.77	Facility		$73.78	$158.26	$6,599.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $80.00 / $184.17	Professional		$72.06	$80.00	$184.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $73.05 / $73.20	Professional		$65.75	$73.05	$73.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $116.92 / $262.10	Facility		$77.66	$116.92	$262.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $75.80 / $157.66	Professional		$73.05	$75.80	$157.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $86.90 / $120.70	Facility		$72.68	$86.90	$120.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $76.86 / $163.10	Professional		$73.20	$76.86	$163.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $73.20	Facility		$69.06	$69.06	$73.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $94.11	Professional		$73.20	$73.20	$94.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $73.19 / $98.81	Professional		$72.73	$73.19	$98.81
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Professional		$72.73	$72.73	$72.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $87.84 / $139.81	Professional		$65.88	$87.84	$139.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $329.40 / $381.80	Facility		$96.74	$329.40	$381.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.25 / $2,022.25 / $2,022.25	Professional		$2,022.25	$2,022.25	$2,022.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $150.03 / $150.03	Professional		$60.00	$150.03	$150.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $73.93 / $120.53	Facility		$72.12	$73.93	$120.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $95.63	Professional		$73.20	$73.20	$95.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $135.91 / $135.91	Professional		$135.91	$135.91	$135.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $73.20 / $109.80	Professional		$58.56	$73.20	$109.80
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $139.18	Professional		$73.20	$73.20	$139.18