Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $97.72 / $117.49	Facility		$85.11	$97.72	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $363.08	Professional		$83.18	$128.82	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $263.03	Professional		$93.33	$120.23	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $331.13	Facility		$104.71	$131.83	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $275.42	Professional		$95.50	$138.04	$275.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $281.84	Professional		$91.20	$141.25	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $316.23	Professional		$91.20	$134.90	$316.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $162.18	Professional		$45.71	$69.18	$162.18
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $194.98	Professional		$120.23	$125.89	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $239.88	Professional		$100.00	$131.83	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $691.83 / $691.83	Professional		$131.83	$691.83	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $5,128.61	Professional		$169.82	$169.82	$5,128.61
Optum Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $363.08	Professional		$100.00	$120.23	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $213.80	Facility		$97.72	$131.83	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $295.12	Professional		$95.50	$141.25	$295.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $109.65	Professional		$56.23	$79.43	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $295.12	Professional		$81.28	$112.20	$295.12