Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $108.92 / $537.91	Facility		$78.09	$108.92	$537.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $106.86 / $405.00	Professional		$94.55	$106.86	$405.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $115.23 / $149.13	Professional		$111.86	$115.23	$149.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.88 / $297.77 / $660.60	Facility		$122.88	$297.77	$660.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $112.34 / $177.67	Professional		$89.71	$112.34	$177.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $228.10 / $407.33	Facility		$96.60	$228.10	$407.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $247.37 / $576.21	Professional		$100.00	$247.37	$576.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $120.81 / $148.12	Facility		$120.81	$120.81	$148.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $128.79	Professional		$88.19	$88.19	$128.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $140.09 / $205.07	Professional		$116.74	$140.09	$205.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $130.50 / $288.97	Professional		$111.86	$130.50	$288.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $320.95 / $889.53 / $889.53	Facility		$320.95	$889.53	$889.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $961.74 / $961.74 / $1,398.23	Professional		$961.74	$961.74	$1,398.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $576.68 / $576.68 / $576.68	Professional		$576.68	$576.68	$576.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $186.43 / $195.75	Facility		$120.81	$186.43	$195.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $120.81 / $177.45	Professional		$88.19	$120.81	$177.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $351.89 / $351.89 / $351.89	Professional		$351.89	$351.89	$351.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $149.13 / $167.79	Professional		$116.74	$149.13	$167.79
United Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $86.62 / $180.40	Professional		$80.14	$86.62	$180.40