Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $147.11 / $772.14	Facility		$48.80	$147.11	$772.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $147.11 / $575.00	Professional		$104.73	$147.11	$575.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.57 / $165.41 / $205.64	Professional		$160.57	$165.41	$205.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $406.01 / $849.51	Facility		$111.71	$406.01	$849.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $148.53 / $255.00	Professional		$133.76	$148.53	$255.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $316.83 / $565.79	Facility		$97.00	$316.83	$565.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $355.09 / $827.13	Professional		$100.00	$355.09	$827.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.17 / $135.00 / $143.05	Facility		$125.17	$135.00	$143.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $98.55 / $219.65	Professional		$98.55	$98.55	$219.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $267.62 / $321.14	Professional		$214.10	$267.62	$321.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.57 / $187.33 / $433.54	Professional		$160.57	$187.33	$433.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $430.75 / $1,281.52 / $1,281.52	Facility		$430.75	$1,281.52	$1,281.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.26 / $1,380.26 / $2,007.15	Professional		$1,380.26	$1,380.26	$2,007.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $827.79 / $827.79 / $827.79	Professional		$827.79	$827.79	$827.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $232.45 / $275.66	Facility		$78.89	$232.45	$275.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $244.22	Professional		$98.55	$135.00	$244.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $505.12 / $505.12 / $505.12	Professional		$505.12	$505.12	$505.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $214.10 / $214.10	Professional		$214.10	$214.10	$214.10
United Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $122.20 / $248.28	Professional		$110.95	$122.20	$248.28