Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.18 / $53.18 / $340.65	Facility		$53.18	$53.18	$340.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $53.18 / $340.65	Professional		$41.10	$53.18	$340.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $88.55 / $88.55	Professional		$88.55	$88.55	$88.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $166.37 / $374.76	Facility		$40.39	$166.37	$374.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $53.11 / $93.60	Professional		$45.67	$53.11	$93.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $139.79 / $249.62	Facility		$96.60	$139.79	$249.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $156.63 / $364.88	Professional		$63.81	$156.63	$364.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $60.55 / $63.11	Facility		$55.22	$60.55	$63.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $64.55	Professional		$44.20	$44.20	$64.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $75.73 / $129.87	Professional		$63.11	$75.73	$129.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $82.64 / $182.99	Professional		$70.84	$82.64	$182.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $246.76 / $560.79 / $560.79	Facility		$246.76	$560.79	$560.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $942.93 / $965.57 / $965.57	Professional		$942.93	$965.57	$965.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.90 / $265.90 / $265.90	Professional		$265.90	$265.90	$265.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $98.06 / $119.77	Facility		$28.52	$98.06	$119.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $60.55 / $88.33	Professional		$44.20	$60.55	$88.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $222.84 / $222.84	Professional		$222.84	$222.84	$222.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $94.45 / $94.67	Professional		$63.11	$94.45	$94.67
United Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $118.06 / $118.06	Facility		$100.35	$118.06	$118.06
United Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $44.25 / $112.16	Professional		$40.84	$44.25	$112.16