Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $160.40 / $578.76	Facility		$132.19	$160.40	$578.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $173.25 / $614.00	Professional		$123.56	$173.25	$614.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.76 / $177.20 / $968.74	Professional		$151.76	$177.20	$968.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.01 / $134.62 / $152.44	Facility		$116.01	$134.62	$152.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $176.05 / $361.56	Professional		$117.17	$176.05	$361.56
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 / $247.71 / $517.01	Professional		$65.00	$247.71	$517.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $210.68 / $420.05	Professional		$150.09	$210.68	$420.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $81.40 / $121.32	Professional		$65.12	$81.40	$121.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $473.00 / $801.00	Professional		$125.00	$473.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $656.78 / $656.78	Facility		$604.00	$656.78	$656.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.45 / $1,111.43 / $1,111.43	Professional		$933.45	$1,111.43	$1,111.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $201.05	Professional		$60.00	$85.00	$201.05
Optum Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $201.51 / $418.61	Professional		$145.78	$201.51	$418.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.91 / $186.63 / $268.02	Facility		$135.91	$186.63	$268.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.57 / $225.85 / $424.21	Professional		$155.57	$225.85	$424.21
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $210.00 / $379.00	Facility		$105.00	$210.00	$379.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.03 / $204.34 / $418.61	Professional		$147.03	$204.34	$418.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $165.88 / $207.75	Professional		$120.64	$165.88	$207.75
United Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $188.75 / $435.34	Professional		$141.21	$188.75	$435.34