Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $383.47 / $28,311.08	Facility		$183.48	$383.47	$28,311.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $185.31 / $412.34	Professional		$183.47	$185.31	$412.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.41 / $183.41	Professional		$183.41	$183.41	$183.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.65 / $293.07 / $718.95	Facility		$194.65	$293.07	$718.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $190.33 / $388.82	Professional		$183.41	$190.33	$388.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $239.85	Facility		$77.70	$100.00	$239.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $186.94 / $402.46	Professional		$186.94	$186.94	$402.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $173.09 / $183.48	Facility		$173.09	$173.09	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $217.31	Professional		$183.48	$183.48	$217.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $180.22 / $243.07	Professional		$180.05	$180.22	$243.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $220.18 / $411.00	Professional		$165.13	$220.18	$411.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $239.73 / $901.10 / $917.40	Facility		$239.73	$901.10	$917.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,591.34 / $7,591.34 / $7,591.34	Professional		$7,591.34	$7,591.34	$7,591.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $369.10 / $369.10	Professional		$60.00	$369.10	$369.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $183.48 / $306.08	Facility		$173.09	$183.48	$306.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $225.06	Professional		$183.48	$183.48	$225.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $280.13 / $280.13 / $280.13	Professional		$280.13	$280.13	$280.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.78 / $183.48 / $275.22	Professional		$146.78	$183.48	$275.22
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $352.47	Professional		$183.48	$194.49	$352.47