Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $117.30 / $138.00	Facility		$103.50	$117.30	$138.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $114.15 / $193.75	Professional		$86.50	$114.15	$193.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.98 / $225.58	Professional		$90.00	$120.98	$225.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $132.65 / $132.65	Facility		$123.36	$132.65	$132.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $113.78 / $216.82	Professional		$64.12	$113.78	$216.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $137.63 / $209.58	Professional		$97.87	$137.63	$209.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $131.35 / $292.38	Professional		$94.01	$131.35	$292.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $133.88 / $176.24	Professional		$90.57	$133.88	$176.24
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $440.02 / $990.00	Professional		$250.00	$440.02	$990.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $117.40 / $198.03	Professional		$94.88	$117.40	$198.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $511.66 / $546.01 / $546.01	Facility		$511.66	$546.01	$546.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $677.79 / $755.78 / $1,023.23	Professional		$677.79	$755.78	$1,023.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $174.71 / $230.61	Professional		$32.34	$174.71	$230.61
Optum Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $123.87 / $185.11	Professional		$99.32	$123.87	$185.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $138.00 / $176.24	Facility		$108.68	$138.00	$176.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $126.00 / $270.16	Professional		$81.00	$126.00	$270.16
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $158.00 / $240.00	Facility		$75.00	$158.00	$240.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $125.95 / $199.82	Professional		$101.67	$125.95	$199.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $128.19 / $156.66	Professional		$110.64	$128.19	$156.66
United Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $138.59 / $138.59	Facility		$138.59	$138.59	$138.59
United Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $126.72 / $292.05	Professional		$93.00	$126.72	$292.05