Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $72.25 / $85.00	Facility		$64.00	$72.25	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $71.50 / $129.00	Professional		$52.67	$71.50	$129.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $71.22 / $117.35	Professional		$10.00	$71.22	$117.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $50.52 / $50.52	Facility		$46.99	$50.52	$50.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $46.15 / $101.02	Professional		$10.89	$46.15	$101.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $94.50 / $131.00	Professional		$66.15	$94.50	$131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $75.00 / $168.74	Professional		$38.00	$75.00	$168.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $79.08 / $104.24	Professional		$34.49	$79.08	$104.24
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $215.44 / $511.76	Professional		$80.00	$215.44	$511.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.06 / $118.69	Professional		$56.23	$70.06	$118.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $301.25 / $322.14 / $322.14	Facility		$301.25	$322.14	$322.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $404.33 / $449.78 / $603.38	Professional		$404.33	$449.78	$603.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.33 / $125.20	Professional		$32.34	$104.33	$125.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $76.03 / $98.70	Professional		$60.75	$76.03	$98.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $82.47 / $105.88	Facility		$63.02	$82.47	$105.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $73.00 / $160.31	Professional		$30.00	$73.00	$160.31
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $67.86 / $79.00	Facility		$60.00	$67.86	$79.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $76.55 / $102.74	Professional		$60.75	$76.55	$102.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $76.23 / $93.17	Professional		$65.37	$76.23	$93.17
United Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $82.69 / $82.69	Facility		$82.69	$82.69	$82.69
United Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $74.00 / $174.77	Professional		$45.13	$74.00	$174.77