Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.88 / $198.00 / $891.65	Facility		$169.88	$198.00	$891.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $169.87 / $472.76	Professional		$40.00	$169.87	$472.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $216.32 / $216.32	Professional		$216.32	$216.32	$216.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.01 / $468.89 / $980.95	Facility		$129.01	$468.89	$980.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $171.10 / $294.48	Professional		$154.46	$171.10	$294.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $365.87 / $653.35	Facility		$97.00	$365.87	$653.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $410.03 / $955.11	Professional		$100.00	$410.03	$955.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $245.50	Facility		$176.75	$176.75	$245.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $188.42	Professional		$129.03	$129.03	$188.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.19 / $198.23 / $339.93	Professional		$165.19	$198.23	$339.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.42 / $216.32 / $479.00	Professional		$185.42	$216.32	$479.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $531.96 / $1,474.48 / $1,474.48	Facility		$531.96	$1,474.48	$1,474.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.10 / $1,594.10 / $2,317.73	Professional		$1,594.10	$1,594.10	$2,317.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $652.59 / $652.59 / $652.59	Professional		$652.59	$652.59	$652.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $278.69 / $318.33	Facility		$91.10	$278.69	$318.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $294.14	Professional		$129.03	$176.75	$294.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $583.29 / $583.29 / $583.29	Professional		$583.29	$583.29	$583.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.19 / $247.22 / $247.79	Professional		$165.19	$247.22	$247.79
United Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $141.11 / $309.02	Professional		$130.47	$141.11	$309.02