Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.54 / $172.13 / $587.99	Facility		$125.54	$172.13	$587.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $125.54 / $516.00	Professional		$109.16	$125.54	$516.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $171.24 / $171.24	Professional		$171.24	$171.24	$171.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $346.48 / $724.76	Facility		$95.33	$346.48	$724.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $127.31 / $217.58	Professional		$114.14	$127.31	$217.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $270.35 / $482.76	Facility		$97.00	$270.35	$482.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $302.94 / $705.68	Professional		$100.00	$302.94	$705.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $181.40	Facility		$130.59	$130.59	$181.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $95.33 / $190.85	Professional		$95.33	$95.33	$190.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $146.47 / $251.15	Professional		$122.06	$146.47	$251.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $159.82 / $353.90	Professional		$136.99	$159.82	$353.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $393.05 / $1,089.41 / $1,089.41	Facility		$393.05	$1,089.41	$1,089.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.86 / $1,177.86 / $1,712.40	Professional		$1,177.86	$1,177.86	$1,712.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $482.18 / $482.18 / $482.18	Professional		$482.18	$482.18	$482.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $205.93 / $235.21	Facility		$67.31	$205.93	$235.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $212.19	Professional		$95.33	$130.59	$212.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $430.95 / $430.95 / $430.95	Professional		$430.95	$430.95	$430.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $182.66 / $183.09	Professional		$122.06	$182.66	$183.09
United Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $104.27 / $220.93	Professional		$94.68	$104.27	$220.93