Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.12 / $73.12 / $468.35	Facility		$73.12	$73.12	$468.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $73.12 / $107.21	Professional		$60.63	$73.12	$107.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $81.56 / $97.39	Professional		$76.81	$81.56	$97.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $228.74 / $515.25	Facility		$55.54	$228.74	$515.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $74.05 / $119.93	Professional		$62.92	$74.05	$119.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $192.18 / $343.17	Facility		$96.60	$192.18	$343.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $215.37 / $501.69	Professional		$87.73	$215.37	$501.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.92 / $77.09 / $100.50	Facility		$75.92	$77.09	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $100.50	Professional		$56.28	$56.28	$100.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $81.91 / $178.55	Professional		$68.26	$81.91	$178.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $113.62 / $251.60	Professional		$97.39	$113.62	$251.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.79 / $771.02 / $771.02	Facility		$261.79	$771.02	$771.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $779.14 / $779.14 / $1,044.90	Professional		$779.14	$779.14	$1,044.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $249.56 / $249.56	Professional		$249.56	$249.56	$249.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $130.15 / $162.32	Facility		$39.21	$130.15	$162.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $125.04	Professional		$56.28	$77.09	$125.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $306.38 / $306.38 / $306.38	Professional		$306.38	$306.38	$306.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $116.04 / $129.86	Professional		$68.26	$116.04	$129.86
United Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $60.74 / $157.06	Professional		$55.15	$60.74	$157.06