Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $82.96 / $435.45	Facility		$82.96	$82.96	$435.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $82.96 / $435.45	Professional		$65.94	$82.96	$435.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $115.99 / $120.74	Professional		$105.65	$115.99	$120.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $228.97 / $479.07	Facility		$63.00	$228.97	$479.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $92.90 / $143.82	Professional		$75.43	$92.90	$143.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $178.67 / $319.05	Facility		$95.50	$178.67	$319.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $200.25 / $466.45	Professional		$81.56	$200.25	$466.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $119.89	Facility		$100.03	$100.03	$119.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $106.64	Professional		$73.02	$73.02	$106.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $96.79 / $166.01	Professional		$80.66	$96.79	$166.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $105.64 / $233.93	Professional		$90.55	$105.64	$233.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $259.81 / $720.06 / $720.06	Facility		$259.81	$720.06	$720.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $778.52 / $778.52 / $1,131.90	Professional		$778.52	$778.52	$1,131.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Professional		$466.72	$466.72	$466.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $135.83 / $155.41	Facility		$44.49	$135.83	$155.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $100.03 / $143.65	Professional		$73.02	$100.03	$143.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $284.86 / $284.86 / $284.86	Professional		$284.86	$284.86	$284.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $120.74 / $120.99	Professional		$80.66	$120.74	$120.99
United Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $75.29 / $151.00	Professional		$64.87	$75.29	$151.00