Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.32 / $75.00 / $98.75	Facility		$62.32	$75.00	$98.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $86.79 / $261.00	Professional		$61.82	$86.79	$261.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $80.20 / $161.90	Professional		$71.51	$80.20	$161.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.42 / $82.73 / $217.87	Facility		$68.42	$82.73	$217.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $93.12 / $166.91	Professional		$71.34	$93.12	$166.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $88.56 / $191.97	Professional		$68.00	$88.56	$191.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $98.95 / $204.22	Professional		$68.25	$98.95	$204.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $56.04 / $123.17	Professional		$37.60	$56.04	$123.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $100.96 / $182.42	Professional		$72.98	$100.96	$182.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $366.35 / $399.62	Facility		$174.15	$366.35	$399.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $463.73 / $476.33	Professional		$163.01	$463.73	$476.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.68	Professional		$32.34	$32.34	$115.68
Optum Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $89.09 / $344.64	Professional		$80.98	$89.09	$344.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.22 / $98.60 / $136.56	Facility		$72.22	$98.60	$136.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $112.49 / $200.63	Professional		$72.56	$112.49	$200.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $90.37 / $344.64	Professional		$80.98	$90.37	$344.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $67.68 / $101.35	Professional		$46.70	$67.68	$101.35
United Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $76.42 / $200.13	Professional		$57.27	$76.42	$200.13