Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.47 / $124.00 / $155.00	Facility		$98.47	$124.00	$155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $131.75 / $398.22	Professional		$92.52	$131.75	$398.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $589.73 / $589.73 / $589.73	Professional		$589.73	$589.73	$589.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.74 / $109.71 / $288.94	Facility		$90.74	$109.71	$288.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $128.59 / $256.52	Professional		$95.55	$128.59	$256.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $149.54 / $324.57	Professional		$0.02	$149.54	$324.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $145.65 / $303.18	Professional		$107.26	$145.65	$303.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.58 / $55.73	Professional		$37.15	$44.58	$55.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $259.00 / $638.07	Professional		$94.00	$259.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $217.84 / $470.46 / $488.06	Facility		$217.84	$470.46	$488.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $699.89 / $699.89 / $699.89	Professional		$699.89	$699.89	$699.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $142.60	Professional		$85.00	$85.00	$142.60
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $131.19 / $408.98	Professional		$105.33	$131.19	$408.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $132.02 / $213.55	Facility		$100.40	$132.02	$213.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $168.13 / $297.39	Professional		$107.82	$168.13	$297.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $131.19 / $408.98	Professional		$105.33	$131.19	$408.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $66.87 / $123.11	Professional		$46.44	$66.87	$123.11
United Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $121.52 / $327.61	Professional		$90.72	$121.52	$327.61