Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $76.05 / $429.55	Facility		$76.05	$76.05	$429.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $76.04 / $96.80	Professional		$61.28	$76.04	$96.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $88.24 / $88.47	Professional		$79.22	$88.24	$88.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $214.89 / $472.59	Facility		$57.75	$214.89	$472.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $76.87 / $136.77	Professional		$71.75	$76.87	$136.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $176.27 / $314.76	Facility		$95.50	$176.27	$314.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $197.54 / $460.14	Professional		$80.45	$197.54	$460.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $92.98 / $92.98	Facility		$69.59	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $170.63	Professional		$67.88	$67.88	$170.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $73.39 / $163.77	Professional		$61.16	$73.39	$163.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $104.22 / $230.76	Professional		$89.33	$104.22	$230.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.06 / $707.18 / $707.18	Facility		$247.06	$707.18	$707.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $736.96 / $736.96 / $997.43	Professional		$736.96	$736.96	$997.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.53 / $396.53 / $396.53	Professional		$396.53	$396.53	$396.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $126.55 / $148.88	Facility		$40.78	$126.55	$148.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $145.38	Professional		$67.88	$67.88	$145.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $281.00 / $281.00	Professional		$281.00	$281.00	$281.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $103.97 / $119.10	Professional		$61.16	$103.97	$119.10
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $64.27 / $144.05	Professional		$57.75	$64.27	$144.05