Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $541.91	Facility		$55.36	$55.36	$541.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $81.73 / $372.34	Professional		$55.36	$81.73	$372.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $127.72 / $166.49	Professional		$116.08	$127.72	$166.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.40 / $287.93 / $596.20	Facility		$79.40	$287.93	$596.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $106.22 / $178.99	Professional		$93.88	$106.22	$178.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $222.35 / $397.05	Facility		$96.60	$222.35	$397.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $249.21 / $580.48	Professional		$100.00	$249.21	$580.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.78 / $107.42 / $149.21	Facility		$87.78	$107.42	$149.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $78.42 / $153.94	Professional		$78.42	$78.42	$153.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $105.43 / $206.60	Professional		$87.86	$105.43	$206.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $131.47 / $291.12	Professional		$112.69	$131.47	$291.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.33 / $899.40 / $899.40	Facility		$323.33	$899.40	$899.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $968.61 / $968.61 / $1,408.65	Professional		$968.61	$968.61	$1,408.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.59 / $396.59 / $396.59	Professional		$396.59	$396.59	$396.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $162.31 / $193.46	Facility		$55.36	$162.31	$193.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $178.77	Professional		$78.42	$107.42	$178.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.50 / $354.50 / $354.50	Professional		$354.50	$354.50	$354.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $149.36 / $150.26	Professional		$87.86	$149.36	$150.26
United Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $77.87 / $85.00	Facility		$14.17	$77.87	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $85.76 / $171.90	Professional		$79.29	$85.76	$171.90