Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.97 / $177.05 / $14,836.00	Facility		$85.97	$177.05	$14,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $86.10 / $13,160.40	Professional		$85.12	$86.10	$13,160.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $103.07 / $103.07	Professional		$85.25	$103.07	$103.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $135.96 / $333.53	Facility		$90.30	$135.96	$333.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $88.46 / $187.38	Professional		$85.12	$88.46	$187.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $87.61 / $101.05	Facility		$76.20	$87.61	$101.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $91.07 / $206.22	Professional		$86.73	$91.07	$206.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $80.30 / $85.12	Facility		$80.30	$80.30	$85.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $103.07	Professional		$85.12	$85.12	$103.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $83.88 / $113.24	Professional		$83.87	$83.88	$113.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $102.14 / $187.26	Professional		$76.61	$102.14	$187.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $417.09 / $425.60	Facility		$111.56	$417.09	$425.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $370.33 / $370.33 / $370.33	Professional		$370.33	$370.33	$370.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.95 / $171.95 / $171.95	Professional		$171.95	$171.95	$171.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $88.52 / $144.86	Facility		$85.12	$88.52	$144.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $104.85	Professional		$85.12	$85.12	$104.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $135.32 / $135.32	Professional		$135.32	$135.32	$135.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $85.12 / $127.68	Professional		$68.09	$85.12	$127.68
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $142.63	Professional		$85.12	$85.12	$142.63