Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $97.72	Facility		$61.66	$75.86	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $263.03	Professional		$61.66	$93.33	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $181.97	Professional		$70.79	$83.18	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $223.87	Facility		$70.79	$89.13	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $190.55	Professional		$70.79	$100.00	$190.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $208.93	Professional		$75.86	$114.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $218.78	Professional		$67.61	$100.00	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $114.82	Professional		$38.02	$56.23	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $169.82	Professional		$70.79	$93.33	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $467.74 / $467.74	Professional		$104.71	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Optum Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $346.74	Professional		$81.28	$85.11	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $147.91	Facility		$72.44	$95.50	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $199.53	Professional		$70.79	$102.33	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $83.18	Professional		$46.77	$66.07	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $204.17	Professional		$57.54	$79.43	$204.17