Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $88.41 / $803.57	Facility		$73.42	$88.41	$803.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $95.45 / $306.02	Professional		$73.42	$95.45	$306.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $108.19 / $143.94	Professional		$105.09	$108.19	$143.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $74.33 / $195.76	Facility		$61.48	$74.33	$195.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $87.12 / $221.55	Professional		$64.09	$87.12	$221.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $100.00 / $765.75	Facility		$56.80	$100.00	$765.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $127.95 / $198.67	Professional		$89.57	$127.95	$198.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $79.23 / $230.04	Facility		$65.33	$79.23	$230.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $112.84 / $293.91	Professional		$61.32	$112.84	$293.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $160.47 / $192.58	Professional		$24.60	$160.47	$192.58
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $139.50 / $139.50	Professional		$139.50	$139.50	$139.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.77 / $162.29 / $300.98	Professional		$117.77	$162.29	$300.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $224.67 / $531.37 / $642.39	Facility		$224.67	$531.37	$642.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.33 / $758.33 / $995.25	Professional		$758.33	$758.33	$995.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $126.45 / $202.19	Facility		$29.60	$126.45	$202.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $123.97 / $289.57	Professional		$64.98	$123.97	$289.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $393.19 / $393.19	Professional		$393.19	$393.19	$393.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $52.93 / $178.50	Professional		$29.52	$52.93	$178.50
United Facility/Professional Facility Modifier Low / Median / High Price $94.43 / $97.92 / $150.54	Facility		$94.43	$97.92	$150.54
United Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $101.68 / $304.44	Professional		$59.36	$101.68	$304.44