Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $707.95	Facility		$72.44	$72.44	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $616.60	Professional		$57.54	$72.44	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $123.03	Professional		$75.86	$120.23	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $316.23	Facility		$54.95	$70.79	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $177.83	Professional		$79.43	$83.18	$177.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $281.84 / $380.19	Facility		$97.72	$281.84	$380.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $524.81	Professional		$154.88	$302.00	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $89.13	Facility		$75.86	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $199.53	Professional		$58.88	$74.13	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $269.15	Professional		$100.00	$147.91	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $954.99	Professional		$794.33	$954.99	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $141.25 / $199.53	Facility		$46.77	$141.25	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $131.83	Professional		$64.57	$64.57	$131.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $147.91	Professional		$58.88	$89.13	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $79.43 / $165.96	Facility		$10.00	$79.43	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $162.18	Professional		$57.54	$72.44	$162.18