Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.03 / $102.75 / $141.91	Facility		$88.03	$102.75	$141.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $117.37 / $375.08	Professional		$84.18	$117.37	$375.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $142.97 / $266.77	Professional		$107.02	$142.97	$266.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.08 / $121.00 / $318.68	Facility		$100.08	$121.00	$318.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $133.82 / $240.03	Professional		$104.34	$133.82	$240.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $114.36 / $268.14	Professional		$92.69	$114.36	$268.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $142.27 / $297.74	Professional		$99.18	$142.27	$297.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $79.58 / $174.04	Professional		$53.40	$79.58	$174.04
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Professional		$118.90	$118.90	$118.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $142.97 / $261.60	Professional		$105.49	$142.97	$261.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.06 / $517.75 / $564.82	Facility		$247.06	$517.75	$564.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $209.39 / $657.86 / $674.51	Professional		$209.39	$657.86	$674.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $163.29	Professional		$32.34	$32.34	$163.29
Optum Facility/Professional Professional Modifier Low / Median / High Price $116.01 / $126.37 / $339.58	Professional		$116.01	$126.37	$339.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.38 / $137.72 / $196.20	Facility		$100.38	$137.72	$196.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $163.92 / $286.86	Professional		$104.29	$163.92	$286.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $116.01 / $133.47 / $339.58	Professional		$116.01	$133.47	$339.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $96.12 / $143.22	Professional		$66.31	$96.12	$143.22
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $114.16 / $300.74	Professional		$84.00	$114.16	$300.74