Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.86 / $106.86 / $560.82	Facility		$106.86	$106.86	$560.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $106.86 / $560.82	Professional		$85.09	$106.86	$560.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $149.38 / $149.38	Professional		$149.38	$149.38	$149.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.19 / $305.98 / $617.02	Facility		$100.19	$305.98	$617.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $121.56 / $185.23	Professional		$99.79	$121.56	$185.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $230.12 / $410.93	Facility		$97.00	$230.12	$410.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $257.89 / $600.73	Professional		$100.00	$257.89	$600.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.92 / $120.62 / $140.58	Facility		$90.92	$120.62	$140.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $128.59	Professional		$88.05	$88.05	$128.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $124.68 / $213.82	Professional		$103.90	$124.68	$213.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $136.07 / $301.29	Professional		$116.63	$136.07	$301.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $334.61 / $927.48 / $927.48	Facility		$334.61	$927.48	$927.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.77 / $1,002.77 / $1,457.85	Professional		$1,002.77	$1,002.77	$1,457.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.47 / $410.47 / $410.47	Professional		$410.47	$410.47	$410.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $168.84 / $200.23	Facility		$57.30	$168.84	$200.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $185.01	Professional		$88.05	$120.62	$185.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $366.87 / $366.87 / $366.87	Professional		$366.87	$366.87	$366.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $155.50 / $155.85	Professional		$103.90	$155.50	$155.85
United Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $96.11 / $188.08	Professional		$83.56	$96.11	$188.08