Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $69.47 / $422.30	Facility		$64.59	$69.47	$422.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $69.47 / $194.52	Professional		$54.72	$69.47	$194.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $68.31 / $76.98	Professional		$58.87	$68.31	$76.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $109.06 / $277.57	Facility		$79.44	$109.06	$277.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $71.04 / $93.48	Professional		$58.24	$71.04	$93.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $179.07 / $319.77	Facility		$95.50	$179.07	$319.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $158.21 / $369.97	Professional		$79.11	$158.21	$369.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $129.87	Facility		$84.97	$84.97	$129.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $87.38	Professional		$62.03	$62.03	$87.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $91.64 / $109.97	Professional		$61.45	$91.64	$109.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $80.44 / $178.11	Professional		$47.80	$80.44	$178.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $145.38 / $370.47 / $370.47	Facility		$145.38	$370.47	$370.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $531.63 / $566.92	Professional		$518.09	$531.63	$566.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $168.22 / $168.22	Professional		$168.22	$168.22	$168.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $68.28 / $84.97	Facility		$49.72	$68.28	$84.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $68.28 / $87.14	Professional		$62.03	$68.28	$87.14
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 $54.62 / $91.64 / $119.13	Professional		$54.62	$91.64	$119.13
United Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $55.35 / $129.80	Professional		$47.76	$55.35	$129.80