Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.03 / $85.90 / $517.38	Facility		$53.03	$85.90	$517.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $85.90 / $125.95	Professional		$73.69	$85.90	$125.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $95.27 / $107.59	Professional		$86.78	$95.27	$107.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $254.68 / $569.22	Facility		$65.23	$254.68	$569.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $85.77 / $158.69	Professional		$83.24	$85.77	$158.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $212.30 / $379.12	Facility		$96.60	$212.30	$379.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $237.93 / $554.21	Professional		$96.92	$237.93	$554.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.87 / $115.38 / $141.93	Facility		$83.87	$115.38	$141.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $141.93	Professional		$84.23	$84.23	$141.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $108.97 / $197.25	Professional		$90.81	$108.97	$197.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $125.52 / $277.95	Professional		$107.59	$125.52	$277.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $286.68 / $851.77 / $851.77	Facility		$286.68	$851.77	$851.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $860.74 / $860.74 / $1,236.53	Professional		$860.74	$860.74	$1,236.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.49 / $325.49 / $325.49	Professional		$325.49	$325.49	$325.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $152.41 / $179.32	Facility		$46.07	$152.41	$179.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $150.85	Professional		$84.23	$115.38	$150.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.45 / $338.45 / $338.45	Professional		$338.45	$338.45	$338.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $143.46 / $143.46	Professional		$90.81	$143.46	$143.46
United Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $71.36 / $173.51	Professional		$65.98	$71.36	$173.51