Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.62 / $144.62 / $723.88	Facility		$144.62	$144.62	$723.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $144.62 / $723.88	Professional		$118.55	$144.62	$723.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $204.71 / $204.71	Professional		$204.71	$204.71	$204.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.58 / $400.75 / $796.40	Facility		$135.58	$400.75	$796.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $180.77 / $253.83	Professional		$133.15	$180.77	$253.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $297.04 / $530.41	Facility		$97.00	$297.04	$530.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $332.89 / $775.42	Professional		$100.00	$332.89	$775.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.27 / $170.64 / $181.44	Facility		$117.27	$170.64	$181.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $181.91	Professional		$124.57	$124.57	$181.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $109.76 / $275.98	Professional		$91.47	$109.76	$275.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $175.62 / $388.88	Professional		$44.00	$175.62	$388.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $458.54 / $1,269.54 / $1,269.54	Facility		$458.54	$1,269.54	$1,269.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.39 / $1,431.39 / $2,158.80	Professional		$1,431.39	$1,431.39	$2,158.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $559.01 / $559.01 / $559.01	Professional		$559.01	$559.01	$559.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $217.93 / $263.43	Facility		$77.55	$217.93	$263.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $259.79	Professional		$124.57	$170.64	$259.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $473.54 / $473.54 / $473.54	Professional		$473.54	$473.54	$473.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $155.50 / $200.71	Professional		$91.47	$155.50	$200.71
United Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $124.05 / $250.89	Professional		$113.02	$124.05	$250.89