Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $93.59 / $110.11	Facility		$76.88	$93.59	$110.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $93.59 / $385.00	Professional		$69.48	$93.59	$385.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $123.04 / $162.32	Professional		$72.28	$123.04	$162.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.09 / $180.73 / $180.73	Facility		$168.09	$180.73	$180.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $155.75 / $297.63	Professional		$75.48	$155.75	$297.63
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 $78.31 / $104.43 / $169.10	Professional		$78.31	$104.43	$169.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $102.00 / $157.11	Professional		$79.00	$102.00	$157.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $99.39 / $126.96	Professional		$81.03	$99.39	$126.96
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $331.21 / $331.21 / $331.21	Professional		$331.21	$331.21	$331.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $88.10 / $149.04	Professional		$65.13	$88.10	$149.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $340.61 / $363.90 / $363.90	Facility		$340.61	$363.90	$363.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $488.59 / $593.17 / $774.23	Professional		$488.59	$593.17	$774.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $139.72	Professional		$32.34	$32.34	$139.72
Optum Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $114.64 / $196.67	Professional		$98.12	$114.64	$196.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $102.63 / $138.00	Facility		$75.47	$102.63	$138.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $102.00 / $165.94	Professional		$80.00	$102.00	$165.94
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $117.67 / $117.67	Facility		$94.00	$117.67	$117.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $115.32 / $220.99	Professional		$98.12	$115.32	$220.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $90.08 / $122.75	Professional		$73.70	$90.08	$122.75
United Facility/Professional Facility Modifier Low / Median / High Price $111.79 / $111.79 / $111.79	Facility		$111.79	$111.79	$111.79
United Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $112.84 / $270.30	Professional		$82.36	$112.84	$270.30