Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.57 / $63.57 / $407.17	Facility		$63.57	$63.57	$407.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $63.57 / $289.89	Professional		$52.25	$63.57	$289.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.96 / $95.96 / $95.96	Professional		$95.96	$95.96	$95.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $198.87 / $447.96	Facility		$48.27	$198.87	$447.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $64.12 / $98.43	Professional		$51.63	$64.12	$98.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $167.07 / $298.35	Facility		$95.50	$167.07	$298.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $187.24 / $436.14	Professional		$76.27	$187.24	$436.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $68.45 / $75.44	Facility		$65.29	$68.45	$75.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $72.98	Professional		$49.98	$49.98	$72.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $90.53 / $155.22	Professional		$75.44	$90.53	$155.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $98.78 / $218.74	Professional		$84.67	$98.78	$218.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.45 / $670.32 / $670.32	Facility		$230.45	$670.32	$670.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $880.61 / $901.76 / $977.48	Professional		$880.61	$901.76	$977.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.83 / $317.83 / $317.83	Professional		$317.83	$317.83	$317.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $113.16 / $143.18	Facility		$34.09	$113.16	$143.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $68.45 / $103.36	Professional		$49.98	$68.45	$103.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $266.36 / $266.36 / $266.36	Professional		$266.36	$266.36	$266.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $112.90 / $113.16	Professional		$75.44	$112.90	$113.16
United Facility/Professional Facility Modifier Low / Median / High Price $119.95 / $141.12 / $141.12	Facility		$119.95	$141.12	$141.12
United Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $52.80 / $128.22	Professional		$47.94	$52.80	$128.22