Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.98 / $105.98 / $574.60	Facility		$105.98	$105.98	$574.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $105.98 / $556.14	Professional		$93.20	$105.98	$556.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $159.32 / $159.32	Professional		$159.32	$159.32	$159.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $292.50 / $632.16	Facility		$80.48	$292.50	$632.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $105.98 / $175.13	Professional		$91.87	$105.98	$175.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $235.77 / $421.03	Facility		$97.00	$235.77	$421.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $264.23 / $615.50	Professional		$100.00	$264.23	$615.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.14 / $121.82 / $121.82	Facility		$93.14	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $129.86	Professional		$88.93	$88.93	$129.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $91.78 / $219.07	Professional		$76.48	$91.78	$219.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $139.41 / $308.68	Professional		$119.49	$139.41	$308.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $382.27 / $945.96 / $945.96	Facility		$382.27	$945.96	$945.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.54 / $1,164.54 / $1,415.85	Professional		$1,164.54	$1,164.54	$1,415.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $482.28 / $482.28 / $482.28	Professional		$482.28	$482.28	$482.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $170.31 / $209.11	Facility		$56.83	$170.31	$209.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $121.82 / $169.28	Professional		$88.93	$121.82	$169.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $375.88 / $375.88 / $375.88	Professional		$375.88	$375.88	$375.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $130.02 / $159.32	Professional		$76.48	$130.02	$159.32
United Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $88.17 / $200.93	Professional		$81.39	$88.17	$200.93