Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.42 / $55.42 / $354.91	Facility		$55.42	$55.42	$354.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $55.42 / $343.54	Professional		$45.55	$55.42	$343.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.41 / $98.41 / $98.41	Professional		$98.41	$98.41	$98.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $173.35 / $390.47	Facility		$42.08	$173.35	$390.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $55.44 / $90.66	Professional		$47.56	$55.44	$90.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $145.63 / $260.07	Facility		$96.60	$145.63	$260.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $163.22 / $380.20	Professional		$66.48	$163.22	$380.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $62.72 / $65.75	Facility		$57.49	$62.72	$65.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $66.87	Professional		$45.79	$45.79	$66.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $60.66 / $135.31	Professional		$50.55	$60.66	$135.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $86.11 / $190.67	Professional		$73.81	$86.11	$190.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $207.66 / $584.29 / $584.29	Facility		$207.66	$584.29	$584.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $793.53 / $812.57 / $812.57	Professional		$793.53	$812.57	$812.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.56 / $295.56 / $295.56	Professional		$295.56	$295.56	$295.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $98.63 / $124.69	Facility		$29.71	$98.63	$124.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $104.56	Professional		$45.79	$62.72	$104.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $232.17 / $232.17 / $232.17	Professional		$232.17	$232.17	$232.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $85.94 / $98.41	Professional		$50.55	$85.94	$98.41
United Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $123.01 / $123.01	Facility		$104.56	$123.01	$123.01
United Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $46.03 / $124.11	Professional		$42.56	$46.03	$124.11