Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $70.13 / $82.50	Facility		$61.88	$70.13	$82.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $62.74 / $85.83	Professional		$49.93	$62.74	$85.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $69.15 / $84.70	Professional		$46.61	$69.15	$84.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $83.66 / $83.66	Facility		$77.81	$83.66	$83.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $74.15 / $137.07	Professional		$50.16	$74.15	$137.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $75.26 / $124.89	Professional		$37.79	$75.26	$124.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $66.52 / $120.75	Professional		$51.00	$66.52	$120.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $79.59 / $104.78	Professional		$18.98	$79.59	$104.78
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $254.14 / $254.14 / $254.14	Professional		$254.14	$254.14	$254.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.06 / $119.35	Professional		$56.23	$70.06	$119.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.75 / $323.95 / $323.95	Facility		$302.75	$323.95	$323.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $406.80 / $449.78 / $603.38	Professional		$406.80	$449.78	$603.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.35 / $126.42	Professional		$32.34	$105.35	$126.42
Optum Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $62.35 / $95.01	Professional		$5.22	$62.35	$95.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $82.50 / $104.57	Facility		$64.39	$82.50	$104.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $64.00 / $108.00	Professional		$48.00	$64.00	$108.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $140.00 / $140.00	Facility		$70.00	$140.00	$140.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $63.83 / $101.47	Professional		$6.59	$63.83	$101.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $76.23 / $93.17	Professional		$65.78	$76.23	$93.17
United Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $83.46 / $83.46	Facility		$83.46	$83.46	$83.46
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $70.56 / $161.31	Professional		$8.91	$70.56	$161.31