Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $64.27 / $72.81	Facility		$60.43	$64.27	$72.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $68.56 / $110.55	Professional		$56.56	$68.56	$110.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $137.24 / $137.24	Professional		$137.24	$137.24	$137.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $83.72 / $83.72	Facility		$77.86	$83.72	$83.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $79.27 / $153.25	Professional		$54.17	$79.27	$153.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $63.17 / $63.17	Facility		$43.87	$63.17	$63.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $75.12 / $117.57	Professional		$57.70	$75.12	$117.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $69.48 / $156.69	Professional		$52.00	$69.48	$156.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $77.04 / $103.61	Professional		$61.83	$77.04	$103.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $68.31 / $107.97	Professional		$55.68	$68.31	$107.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.20 / $314.93 / $314.93	Facility		$295.20	$314.93	$314.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $399.92 / $451.71 / $593.92	Professional		$399.92	$451.71	$593.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $66.78 / $98.57	Professional		$54.44	$66.78	$98.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $76.69 / $99.74	Facility		$60.43	$76.69	$99.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $72.08 / $161.55	Professional		$52.00	$72.08	$161.55
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $68.50 / $114.03	Professional		$54.44	$68.50	$114.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $75.40 / $92.16	Professional		$63.70	$75.40	$92.16
United Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $81.16 / $81.16	Facility		$81.16	$81.16	$81.16
United Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $71.59 / $187.07	Professional		$55.04	$71.59	$187.07