Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $812.83	Facility		$77.62	$120.23	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $416.87	Professional		$89.13	$134.90	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $194.98	Professional		$114.82	$125.89	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $446.68	Facility		$123.03	$154.88	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $234.42	Professional		$112.20	$112.20	$234.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $331.13 / $436.52	Facility		$97.72	$331.13	$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 $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $120.23	Professional		$89.13	$89.13	$120.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $229.09	Professional		$117.49	$144.54	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $316.23	Professional		$120.23	$169.82	$316.23
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 $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $251.19	Facility		$107.15	$190.55	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $181.97	Professional		$89.13	$89.13	$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 $117.49 / $151.36 / $199.53	Professional		$117.49	$151.36	$199.53
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