Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $77.62 / $91.20	Facility		$69.18	$77.62	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $177.83	Professional		$61.66	$77.62	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $81.28	Professional		$51.29	$56.23	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $104.71	Facility		$97.72	$97.72	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $223.87	Professional		$69.18	$114.82	$223.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $194.98	Professional		$75.86	$93.33	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $120.23	Professional		$60.26	$83.18	$120.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $120.23	Professional		$67.61	$85.11	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $102.33	Professional		$56.23	$70.79	$102.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $602.56	Professional		$489.78	$602.56	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $109.65	Professional		$64.57	$109.65	$109.65
Optum Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $123.03	Professional		$75.86	$93.33	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $125.89	Facility		$64.57	$89.13	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $125.89	Professional		$60.26	$83.18	$125.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $275.42	Professional		$251.19	$251.19	$275.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $104.71	Professional		$54.95	$75.86	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $91.20	Facility		$77.62	$77.62	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $173.78	Professional		$64.57	$87.10	$173.78