Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.47 / $104.47 / $548.26	Facility		$104.47	$104.47	$548.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $104.47 / $548.26	Professional		$83.55	$104.47	$548.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $108.16 / $145.29	Professional		$108.16	$108.16	$145.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $303.52 / $653.29	Facility		$115.07	$303.52	$653.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $153.41 / $181.05	Professional		$94.97	$153.41	$181.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $224.96 / $401.72	Facility		$96.70	$224.96	$401.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $252.13 / $587.29	Professional		$100.00	$252.13	$587.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $100.13	Facility		$67.73	$67.73	$100.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $69.77	Professional		$57.58	$57.58	$69.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $121.88 / $209.02	Professional		$101.57	$121.88	$209.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $133.01 / $294.52	Professional		$114.01	$133.01	$294.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $395.20 / $902.60 / $902.60	Facility		$395.20	$902.60	$902.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $981.91 / $981.91 / $1,425.15	Professional		$981.91	$981.91	$1,425.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $401.18 / $401.18 / $401.18	Professional		$401.18	$401.18	$401.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $172.15 / $195.70	Facility		$56.03	$172.15	$195.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $180.87	Professional		$57.58	$67.73	$180.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $358.66 / $358.66 / $358.66	Professional		$358.66	$358.66	$358.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $152.02 / $152.36	Professional		$101.57	$152.02	$152.36
United Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $93.95 / $183.29	Professional		$81.59	$93.95	$183.29