Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $96.90 / $118.52	Facility		$85.01	$96.90	$118.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $125.74 / $364.30	Professional		$82.93	$125.74	$364.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $121.38 / $263.72	Professional		$103.17	$121.38	$263.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $120.09 / $316.27	Facility		$99.32	$120.09	$316.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.01 / $129.69 / $230.24	Professional		$92.01	$129.69	$230.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $100.46 / $241.27	Professional		$82.01	$100.46	$241.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $134.88 / $290.89	Professional		$94.82	$134.88	$290.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $68.26 / $176.19	Professional		$45.80	$68.26	$176.19
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $121.37 / $121.37 / $195.77	Professional		$121.37	$121.37	$195.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $144.97 / $267.04	Professional		$105.49	$144.97	$267.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $258.43 / $704.00 / $704.00	Facility		$258.43	$704.00	$704.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $237.43 / $688.14 / $707.45	Professional		$237.43	$688.14	$707.45
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 $112.19 / $125.24 / $366.30	Professional		$112.19	$125.24	$366.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $137.28 / $189.24	Facility		$102.00	$137.28	$189.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $159.71 / $292.16	Professional		$101.09	$159.71	$292.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $128.79 / $366.30	Professional		$112.19	$128.79	$366.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $82.44 / $144.97	Professional		$56.88	$82.44	$144.97
United Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $108.78 / $292.76	Professional		$79.58	$108.78	$292.76