Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $380.19	Facility		$46.77	$46.77	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $177.83	Professional		$37.15	$47.86	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $74.13	Professional		$50.12	$53.70	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $194.98	Facility		$36.31	$45.71	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $107.15	Professional		$43.65	$47.86	$107.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $204.17	Facility		$91.20	$151.36	$204.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $281.84	Professional		$95.50	$162.18	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $50.12	Professional		$36.31	$36.31	$50.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $107.15	Professional		$38.90	$48.98	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $144.54	Professional		$52.48	$79.43	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $645.65	Professional		$446.68	$645.65	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $81.28 / $109.65	Facility		$25.70	$81.28	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $85.11	Professional		$36.31	$36.31	$85.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $79.43	Professional		$38.90	$58.88	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $38.90 / $107.15	Facility		$6.61	$38.90	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $87.10	Professional		$36.31	$43.65	$87.10