Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $660.69	Facility		$83.18	$83.18	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $660.69	Professional		$66.07	$83.18	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $81.28 / $346.74	Facility		$64.57	$81.28	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $169.82	Professional		$85.11	$85.11	$169.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $269.15 / $363.08	Facility		$97.72	$269.15	$363.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $489.78	Professional		$147.91	$288.40	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $100.00 / $100.00	Facility		$72.44	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $186.21	Professional		$81.28	$102.33	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $257.04	Professional		$97.72	$141.25	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,148.15	Professional		$794.33	$1,148.15	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $141.25 / $194.98	Facility		$52.48	$141.25	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $147.91	Professional		$72.44	$72.44	$147.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $141.25	Professional		$81.28	$123.03	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $69.18 / $190.55	Facility		$11.48	$69.18	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $154.88	Professional		$64.57	$75.86	$154.88