Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $81.23 / $426.46	Facility		$81.23	$81.23	$426.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $81.23 / $426.46	Professional		$64.68	$81.23	$426.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $113.60 / $113.60	Professional		$113.60	$113.60	$113.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $232.59 / $469.19	Facility		$76.16	$232.59	$469.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $101.55 / $140.86	Professional		$73.87	$101.55	$140.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $174.96 / $312.43	Facility		$95.50	$174.96	$312.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $196.12 / $456.84	Professional		$79.89	$196.12	$456.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.12 / $98.15 / $106.88	Facility		$69.12	$98.15	$106.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $104.64	Professional		$71.65	$71.65	$104.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $94.79 / $162.59	Professional		$78.98	$94.79	$162.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $103.47 / $229.11	Professional		$88.69	$103.47	$229.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $254.45 / $705.18 / $705.18	Facility		$254.45	$705.18	$705.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $762.34 / $762.34 / $1,108.58	Professional		$762.34	$762.34	$1,108.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $312.07 / $312.07 / $312.07	Professional		$312.07	$312.07	$312.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $128.36 / $152.22	Facility		$43.56	$128.36	$152.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $98.15 / $140.69	Professional		$71.65	$98.15	$140.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $278.98 / $278.98 / $278.98	Professional		$278.98	$278.98	$278.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $118.25 / $118.49	Professional		$78.98	$118.25	$118.49
United Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $68.67 / $147.81	Professional		$63.52	$68.67	$147.81