Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.86 / $84.86 / $508.39	Facility		$84.86	$84.86	$508.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $84.86 / $169.72	Professional		$72.87	$84.86	$169.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $140.96 / $140.96	Professional		$88.34	$140.96	$140.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $251.56 / $559.30	Facility		$64.44	$251.56	$559.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $85.06 / $146.06	Professional		$76.61	$85.06	$146.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $208.61 / $372.52	Facility		$96.60	$208.61	$372.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $233.79 / $544.57	Professional		$95.23	$233.79	$544.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.36 / $102.60 / $102.60	Facility		$82.36	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $120.31	Professional		$74.90	$74.90	$120.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $86.84 / $193.82	Professional		$72.37	$86.84	$193.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $123.34 / $273.11	Professional		$105.72	$123.34	$273.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.52 / $836.95 / $836.95	Facility		$270.52	$836.95	$836.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $914.49 / $936.45 / $1,065.00	Professional		$914.49	$936.45	$1,065.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $442.00 / $442.00 / $442.00	Professional		$442.00	$442.00	$442.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $149.77 / $176.20	Facility		$45.51	$149.77	$176.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $102.60 / $167.71	Professional		$74.90	$102.60	$167.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $332.57 / $332.57 / $332.57	Professional		$332.57	$332.57	$332.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $123.03 / $140.96	Professional		$72.37	$123.03	$140.96
United Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $77.66 / $235.75	Professional		$67.08	$77.66	$235.75