Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $108.98 / $360.09	Facility		$83.18	$108.98	$360.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $119.00 / $376.70	Professional		$79.13	$119.00	$376.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $141.09 / $189.19	Professional		$87.71	$141.09	$189.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $84.34 / $95.51	Facility		$72.68	$84.34	$95.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $111.03 / $240.12	Professional		$74.13	$111.03	$240.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $115.00 / $139.00	Facility		$88.30	$115.00	$139.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $174.35 / $380.92	Professional		$65.00	$174.35	$380.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $140.47 / $269.64	Professional		$97.18	$140.47	$269.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $59.50 / $88.68	Professional		$47.60	$59.50	$88.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $333.00 / $801.00	Professional		$140.00	$333.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.13 / $431.16 / $431.16	Facility		$398.13	$431.16	$431.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $583.45 / $746.21 / $746.21	Professional		$583.45	$746.21	$746.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $141.97	Professional		$60.00	$85.00	$141.97
Optum Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $146.88 / $418.61	Professional		$114.20	$146.88	$418.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $126.71 / $187.92	Facility		$90.77	$126.71	$187.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.68 / $152.26 / $285.61	Professional		$101.68	$152.26	$285.61
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $126.00 / $191.00	Facility		$105.00	$126.00	$191.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $147.03 / $418.61	Professional		$114.20	$147.03	$418.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $108.49 / $146.80	Professional		$78.90	$108.49	$146.80
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $127.66 / $288.51	Professional		$96.60	$127.66	$288.51