Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.90 / $112.90 / $559.82	Facility		$112.90	$112.90	$559.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $112.90 / $233.46	Professional		$103.92	$112.90	$233.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.41 / $129.99 / $155.22	Professional		$116.41	$129.99	$155.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.83 / $309.91 / $687.49	Facility		$129.83	$309.91	$687.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $115.83 / $188.04	Professional		$94.95	$115.83	$188.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $237.39 / $423.91	Facility		$97.00	$237.39	$423.91
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 $127.07 / $127.07 / $154.15	Facility		$127.07	$127.07	$154.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $234.38	Professional		$92.76	$92.76	$234.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $145.79 / $213.42	Professional		$121.49	$145.79	$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 $339.68 / $939.42 / $939.42	Facility		$339.68	$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 $610.57 / $610.57 / $610.57	Professional		$610.57	$610.57	$610.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.07 / $194.02 / $206.16	Facility		$127.07	$194.02	$206.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $189.47	Professional		$92.76	$92.76	$189.47
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 $121.49 / $155.22 / $174.62	Professional		$121.49	$155.22	$174.62
United Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $91.73 / $206.53	Professional		$84.67	$91.73	$206.53