Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $521.23	Facility		$81.37	$81.37	$521.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $81.37 / $295.00	Professional		$70.56	$81.37	$295.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $92.89 / $135.49	Professional		$92.89	$92.89	$135.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.79 / $254.57 / $573.44	Facility		$61.79	$254.57	$573.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $82.18 / $128.72	Professional		$66.09	$82.18	$128.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $213.86 / $381.89	Facility		$97.00	$213.86	$381.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $239.70 / $558.33	Professional		$97.64	$239.70	$558.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $96.56	Facility		$81.70	$86.88	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $112.88	Professional		$63.42	$63.42	$112.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $115.87 / $198.72	Professional		$96.56	$115.87	$198.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $126.46 / $285.43	Professional		$108.39	$126.46	$285.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $335.81 / $722.40 / $858.09	Facility		$335.81	$722.40	$858.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.27 / $1,314.05 / $1,314.05	Professional		$1,283.27	$1,314.05	$1,314.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.75 / $277.75 / $277.75	Professional		$277.75	$277.75	$277.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $144.84 / $183.09	Facility		$43.64	$144.84	$183.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $148.30	Professional		$63.42	$86.88	$148.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $340.97 / $340.97 / $340.97	Professional		$340.97	$340.97	$340.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $144.52 / $144.84	Professional		$96.56	$144.52	$144.84
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $68.78 / $180.65	Professional		$62.50	$68.78	$180.65