Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.76 / $58.76 / $376.36	Facility		$58.76	$58.76	$376.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $58.76 / $117.52	Professional		$50.28	$58.76	$117.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $104.35 / $110.87	Professional		$55.03	$104.35	$110.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.62 / $183.82 / $414.06	Facility		$44.62	$183.82	$414.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $58.96 / $90.98	Professional		$47.73	$58.96	$90.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $154.43 / $275.77	Facility		$96.60	$154.43	$275.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $173.08 / $403.16	Professional		$70.50	$173.08	$403.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.35 / $72.18 / $72.18	Facility		$60.35	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $52.69 / $76.95	Professional		$52.69	$52.69	$76.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $83.68 / $143.47	Professional		$69.73	$83.68	$143.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $91.31 / $202.18	Professional		$78.26	$91.31	$202.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $273.68 / $619.59 / $619.59	Facility		$273.68	$619.59	$619.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.80 / $1,070.91 / $1,070.91	Professional		$1,045.80	$1,070.91	$1,070.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.78 / $293.78 / $293.78	Professional		$293.78	$293.78	$293.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $104.59 / $132.34	Facility		$31.51	$104.59	$132.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $95.54	Professional		$52.69	$72.18	$95.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $246.20 / $246.20 / $246.20	Professional		$246.20	$246.20	$246.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $104.35 / $104.60	Professional		$69.73	$104.35	$104.60
United Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $48.81 / $118.53	Professional		$45.13	$48.81	$118.53