Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $812.83	Facility		$77.62	$123.03	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $426.58	Professional		$89.13	$128.82	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $162.18	Professional		$93.33	$100.00	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $426.58	Facility		$77.62	$100.00	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $234.42	Professional		$104.71	$107.15	$234.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $323.59 / $436.52	Facility		$97.72	$323.59	$436.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $602.56	Professional		$181.97	$346.74	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $107.15	Facility		$93.33	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Professional		$77.62	$77.62	$107.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $229.09	Professional		$100.00	$125.89	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $331.13	Professional		$114.82	$181.97	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $1,412.54	Professional		$954.99	$1,412.54	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $173.78 / $239.88	Facility		$57.54	$173.78	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $181.97	Professional		$77.62	$77.62	$181.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $169.82	Professional		$100.00	$147.91	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $85.11 / $234.42	Facility		$14.13	$85.11	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $190.55	Professional		$79.43	$93.33	$190.55