Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $281.84	Facility		$81.28	$91.20	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $295.12	Professional		$81.28	$102.33	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $93.33 / $120.23	Professional		$30.20	$93.33	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $114.82	Facility		$107.15	$107.15	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $245.47	Professional		$83.18	$128.82	$245.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $204.17	Professional		$91.20	$109.65	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $194.98	Professional		$70.79	$95.50	$194.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $169.82	Professional		$85.11	$102.33	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $144.54	Professional		$79.43	$100.00	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $812.83	Professional		$616.60	$812.83	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $144.54	Professional		$85.11	$85.11	$144.54
Optum Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $120.23	Professional		$74.13	$91.20	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $151.36	Facility		$81.28	$104.71	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $194.98	Professional		$70.79	$93.33	$194.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $316.23	Professional		$288.40	$288.40	$316.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $141.25	Professional		$77.62	$107.15	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $162.18	Facility		$77.62	$77.62	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $204.17	Professional		$72.44	$97.72	$204.17