Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.22 / $92.22 / $443.02	Facility		$92.22	$92.22	$443.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $92.22 / $443.02	Professional		$68.69	$92.22	$443.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $122.83 / $122.83	Professional		$122.83	$122.83	$122.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.03 / $235.38 / $487.38	Facility		$70.03	$235.38	$487.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $93.24 / $142.79	Professional		$74.90	$93.24	$142.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.78 / $324.61	Facility		$95.50	$181.78	$324.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $203.72 / $474.53	Professional		$82.99	$203.72	$474.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $99.32 / $99.32	Facility		$71.81	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $105.87	Professional		$72.50	$72.50	$105.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $88.42 / $168.89	Professional		$73.68	$88.42	$168.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $107.48 / $237.99	Professional		$92.12	$107.48	$237.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $311.69 / $818.84 / $818.84	Facility		$311.69	$818.84	$818.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.46 / $1,019.46 / $1,206.75	Professional		$1,019.46	$1,019.46	$1,206.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $419.65 / $419.65 / $419.65	Professional		$419.65	$419.65	$419.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $135.75 / $161.22	Facility		$49.45	$135.75	$161.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $146.13	Professional		$72.50	$99.32	$146.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $289.81 / $289.81 / $289.81	Professional		$289.81	$289.81	$289.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $122.83 / $122.83	Professional		$73.68	$122.83	$122.83
United Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $82.73 / $221.80	Professional		$72.89	$82.73	$221.80