Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $108.30 / $559.82	Facility		$61.35	$108.30	$559.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $108.30 / $301.35	Professional		$100.07	$108.30	$301.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $143.57 / $155.22	Professional		$131.93	$143.57	$155.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.24 / $297.43 / $615.88	Facility		$82.24	$297.43	$615.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $109.27 / $188.04	Professional		$98.64	$109.27	$188.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $229.74 / $410.24	Facility		$98.20	$229.74	$410.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $257.43 / $599.66	Professional		$100.00	$257.43	$599.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $112.67 / $112.67	Facility		$90.76	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $120.11	Professional		$82.25	$82.25	$120.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $119.18 / $213.42	Professional		$99.32	$119.18	$213.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $135.81 / $300.73	Professional		$116.41	$135.81	$300.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $939.42 / $939.42	Facility		$317.70	$939.42	$939.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,479.83	Professional		$1,006.48	$1,006.48	$1,479.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.82 / $416.82 / $416.82	Professional		$416.82	$416.82	$416.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $169.89 / $203.33	Facility		$58.07	$169.89	$203.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $184.67	Professional		$82.25	$112.67	$184.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $366.21 / $366.21 / $366.21	Professional		$366.21	$366.21	$366.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $155.22 / $155.22	Professional		$99.32	$155.22	$155.22
United Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $89.95 / $189.99	Professional		$83.17	$89.95	$189.99