Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $75.00 / $119.12	Facility		$61.97	$75.00	$119.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $84.55 / $239.00	Professional		$61.80	$84.55	$239.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $89.33 / $179.63	Professional		$70.68	$89.33	$179.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.64 / $220.29	Facility		$69.18	$83.64	$220.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $90.33 / $160.05	Professional		$63.72	$90.33	$160.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $74.36 / $169.82	Professional		$57.74	$74.36	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $93.60 / $200.55	Professional		$66.12	$93.60	$200.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $56.34 / $117.72	Professional		$37.79	$56.34	$117.72
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $130.80	Professional		$81.20	$81.20	$130.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $97.45 / $178.66	Professional		$70.68	$97.45	$178.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $357.27 / $385.75	Facility		$172.40	$357.27	$385.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $17.23 / $35.72 / $38.58	Facility	AS	$17.23	$35.72	$38.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $459.05 / $469.94	Professional		$143.12	$459.05	$469.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,083.00	Professional		$32.34	$32.34	$5,083.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $83.46 / $313.95	Professional		$79.30	$83.46	$313.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.88 / $92.76 / $127.15	Facility		$68.88	$92.76	$127.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $110.42 / $195.98	Professional		$70.34	$110.42	$195.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $87.23 / $313.95	Professional		$79.30	$87.23	$313.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $68.04 / $96.86	Professional		$46.95	$68.04	$96.86
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $75.66 / $203.14	Professional		$55.22	$75.66	$203.14