Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $81.84 / $440.27	Facility		$81.84	$81.84	$440.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $81.84 / $312.00	Professional		$71.34	$81.84	$312.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.86 / $162.86 / $162.86	Professional		$162.86	$162.86	$162.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $225.88 / $484.37	Facility		$62.15	$225.88	$484.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $82.10 / $145.61	Professional		$76.39	$82.10	$145.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $180.64 / $322.58	Facility		$95.50	$180.64	$322.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $202.45 / $471.60	Professional		$82.47	$202.45	$471.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $85.16 / $85.16	Facility		$71.31	$85.16	$85.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $62.17 / $181.50	Professional		$62.17	$62.17	$181.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $69.77 / $167.85	Professional		$58.14	$69.77	$167.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $106.81 / $236.51	Professional		$91.55	$106.81	$236.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $317.83 / $724.80 / $724.80	Facility		$317.83	$724.80	$724.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $810.66 / $810.66 / $1,066.80	Professional		$810.66	$810.66	$1,066.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $335.72 / $335.72 / $335.72	Professional		$335.72	$335.72	$335.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $132.54 / $160.22	Facility		$43.89	$132.54	$160.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $149.03	Professional		$62.17	$85.16	$149.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.01 / $288.01 / $288.01	Professional		$288.01	$288.01	$288.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $98.84 / $122.07	Professional		$58.14	$98.84	$122.07
United Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $67.98 / $152.59	Professional		$61.73	$67.98	$152.59