Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $66.64 / $422.30	Facility		$40.61	$66.64	$422.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $66.64 / $194.59	Professional		$63.75	$66.64	$194.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $109.77 / $135.74	Professional		$90.37	$109.77	$135.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $206.25 / $464.59	Facility		$50.63	$206.25	$464.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $67.73 / $121.95	Professional		$60.50	$67.73	$121.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.30 / $309.45	Facility		$95.50	$173.30	$309.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $194.20 / $452.35	Professional		$79.11	$194.20	$452.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.42 / $88.85 / $88.85	Facility		$68.42	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $94.72	Professional		$64.86	$64.86	$94.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $87.23 / $161.00	Professional		$72.69	$87.23	$161.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $102.45 / $248.81	Professional		$87.82	$102.45	$248.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.15 / $695.21 / $695.21	Facility		$229.15	$695.21	$695.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $702.53 / $702.53 / $907.65	Professional		$702.53	$702.53	$907.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $247.00 / $247.00	Professional		$247.00	$247.00	$247.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $120.49 / $146.36	Facility		$35.72	$120.49	$146.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $124.41	Professional		$64.86	$88.85	$124.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $276.25 / $276.25 / $276.25	Professional		$276.25	$276.25	$276.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $117.09 / $117.09	Professional		$72.69	$117.09	$117.09
United Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $55.35 / $139.04	Professional		$51.17	$55.35	$139.04