Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.88 / $92.48 / $99.24	Facility		$82.88	$92.48	$99.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $94.93 / $263.02	Professional		$76.59	$94.93	$263.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $98.68 / $504.62	Professional		$67.67	$98.68	$504.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.73 / $114.76 / $114.76	Facility		$106.73	$114.76	$114.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.24 / $208.86	Professional		$75.86	$109.24	$208.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $126.12 / $181.60 / $181.60	Facility		$126.12	$181.60	$181.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $102.38 / $160.44	Professional		$78.73	$102.38	$160.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $95.29 / $225.82	Professional		$71.00	$95.29	$225.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $106.15 / $142.43	Professional		$84.30	$106.15	$142.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $93.77 / $155.07	Professional		$76.44	$93.77	$155.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.71 / $433.30 / $1,400.00	Facility		$405.71	$433.30	$1,400.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $557.69 / $617.49 / $816.38	Professional		$557.69	$617.49	$816.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.30	Professional		$32.34	$32.34	$143.30
Optum Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $90.85 / $125.61	Professional		$74.98	$90.85	$125.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.88 / $105.10 / $136.79	Facility		$82.88	$105.10	$136.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $98.84 / $225.52	Professional		$72.00	$98.84	$225.52
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Facility		$101.00	$101.00	$101.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $90.93 / $131.57	Professional		$74.98	$90.93	$131.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $103.63 / $126.65	Professional		$87.76	$103.63	$126.65
United Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $113.70 / $113.70	Facility		$113.70	$113.70	$113.70
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $97.71 / $260.99	Professional		$74.98	$97.71	$260.99