Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $140.25 / $165.00	Facility		$123.75	$140.25	$165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $128.02 / $177.44	Professional		$101.10	$128.02	$177.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $120.82 / $172.60	Professional		$99.85	$120.82	$172.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $157.77 / $157.77	Facility		$146.72	$157.77	$157.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $148.66 / $279.92	Professional		$98.42	$148.66	$279.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $185.51 / $267.10 / $267.10	Facility		$185.51	$267.10	$267.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $169.34 / $280.48	Professional		$94.50	$169.34	$280.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $154.00 / $293.00	Professional		$108.00	$154.00	$293.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $159.61 / $213.51	Professional		$38.01	$159.61	$213.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $144.81 / $240.01	Professional		$114.65	$144.81	$240.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $610.08 / $651.46 / $651.46	Facility		$610.08	$651.46	$651.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $825.21 / $924.30 / $1,226.25	Professional		$825.21	$924.30	$1,226.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $212.35 / $254.82	Professional		$32.34	$212.35	$254.82
Optum Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $140.00 / $197.35	Professional		$103.72	$140.00	$197.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.85 / $165.00 / $211.18	Facility		$129.85	$165.00	$211.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $139.00 / $270.00	Professional		$100.00	$139.00	$270.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $140.00 / $255.00	Facility		$105.00	$140.00	$255.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $141.31 / $224.11	Professional		$105.57	$141.31	$224.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $155.34 / $189.86	Professional		$131.94	$155.34	$189.86
United Facility/Professional Facility Modifier Low / Median / High Price $168.45 / $168.45 / $168.45	Facility		$168.45	$168.45	$168.45
United Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $142.27 / $312.36	Professional		$105.98	$142.27	$312.36