Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $84.80 / $99.76	Facility		$74.81	$84.80	$99.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $84.79 / $205.51	Professional		$67.31	$84.79	$205.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $81.73 / $90.87	Professional		$75.30	$81.73	$90.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.47 / $183.30 / $183.30	Facility		$170.47	$183.30	$183.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $140.66 / $264.98	Professional		$70.56	$140.66	$264.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $259.39 / $371.20 / $902.60	Facility		$259.39	$371.20	$902.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $94.37 / $150.13	Professional		$68.18	$94.37	$150.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $91.91 / $142.47	Professional		$70.00	$91.91	$142.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $90.97 / $123.84	Professional		$75.81	$90.97	$123.84
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $383.01 / $383.01 / $383.01	Professional		$383.01	$383.01	$383.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $80.56 / $133.83	Professional		$63.93	$80.56	$133.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $362.05 / $362.05	Facility		$339.11	$362.05	$362.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $492.36 / $555.30 / $680.85	Professional		$492.36	$555.30	$680.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.12	Professional		$32.34	$32.34	$124.12
Optum Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $100.20 / $175.86	Professional		$86.14	$100.20	$175.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $96.68 / $124.70	Facility		$76.22	$96.68	$124.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $91.00 / $153.44	Professional		$70.00	$91.00	$153.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $100.60 / $200.65	Professional		$85.03	$100.60	$200.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $86.65 / $105.91	Professional		$73.28	$86.65	$105.91
United Facility/Professional Facility Modifier Low / Median / High Price $98.39 / $98.39 / $98.39	Facility		$98.39	$98.39	$98.39
United Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $97.81 / $258.23	Professional		$72.80	$97.81	$258.23