Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.74 / $87.74 / $514.19	Facility		$87.74	$87.74	$514.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $96.51 / $319.50	Professional		$84.75	$96.51	$319.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $121.19 / $142.58	Professional		$76.37	$121.19	$142.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $257.24 / $565.72	Facility		$66.62	$257.24	$565.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $88.64 / $159.24	Professional		$83.53	$88.64	$159.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $211.00 / $376.78	Facility		$96.60	$211.00	$376.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $236.46 / $550.79	Professional		$96.32	$236.46	$550.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $96.73 / $96.73	Facility		$83.30	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $143.21	Professional		$70.61	$70.61	$143.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $96.83 / $196.04	Professional		$80.69	$96.83	$196.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $124.75 / $276.24	Professional		$106.93	$124.75	$276.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $287.67 / $846.55 / $846.55	Facility		$287.67	$846.55	$846.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $855.46 / $855.46 / $1,243.73	Professional		$855.46	$855.46	$1,243.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.28 / $332.28 / $332.28	Professional		$332.28	$332.28	$332.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $151.28 / $178.22	Facility		$47.05	$151.28	$178.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $158.71	Professional		$70.61	$96.73	$158.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $336.36 / $336.36 / $336.36	Professional		$336.36	$336.36	$336.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $137.16 / $142.58	Professional		$80.69	$137.16	$142.58
United Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $72.88 / $164.61	Professional		$66.17	$72.88	$164.61