Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.46 / $84.46 / $443.40	Facility		$84.46	$84.46	$443.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $84.46 / $304.67	Professional		$67.11	$84.46	$304.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $102.97 / $102.97	Professional		$102.97	$102.97	$102.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $233.12 / $487.83	Facility		$64.14	$233.12	$487.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $84.87 / $146.41	Professional		$76.80	$84.87	$146.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.94 / $324.88	Facility		$95.50	$181.94	$324.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $203.91 / $474.98	Professional		$83.06	$203.91	$474.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $88.85 / $88.85	Facility		$71.81	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $94.72	Professional		$64.86	$64.86	$94.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $74.23 / $169.05	Professional		$61.87	$74.23	$169.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.21 / $107.58 / $238.20	Professional		$92.21	$107.58	$238.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $734.34 / $734.34	Facility		$264.48	$734.34	$734.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $792.37 / $792.37 / $1,152.08	Professional		$792.37	$792.37	$1,152.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.53 / $324.53 / $324.53	Professional		$324.53	$324.53	$324.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $132.81 / $158.31	Facility		$45.29	$132.81	$158.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $146.28	Professional		$64.86	$88.85	$146.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $290.06 / $290.06 / $290.06	Professional		$290.06	$290.06	$290.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $105.18 / $122.94	Professional		$61.87	$105.18	$122.94
United Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $70.27 / $149.57	Professional		$64.87	$70.27	$149.57