Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.69 / $155.93 / $190.95	Facility		$137.69	$155.93	$190.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $180.44 / $578.00	Professional		$131.71	$180.44	$578.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $128.47 / $130.41	Professional		$128.47	$128.47	$130.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.43 / $158.90 / $418.49	Facility		$131.43	$158.90	$418.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $186.25 / $373.29	Professional		$137.03	$186.25	$373.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $207.27 / $457.12	Professional		$0.02	$207.27	$457.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $210.69 / $440.74	Professional		$154.00	$210.69	$440.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $62.41 / $78.01	Professional		$52.01	$62.41	$78.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $621.00 / $731.00	Professional		$128.00	$621.00	$731.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.89 / $681.03 / $681.03	Facility		$300.89	$681.03	$681.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.75 / $1,010.75 / $1,010.75	Professional		$1,010.75	$1,010.75	$1,010.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $197.66	Professional		$85.00	$85.00	$197.66
Optum Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $189.07 / $408.98	Professional		$146.60	$189.07	$408.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $180.00 / $271.83	Facility		$139.86	$180.00	$271.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $236.24 / $428.58	Professional		$155.04	$236.24	$428.58
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $206.56 / $206.56 / $206.56	Facility		$206.56	$206.56	$206.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $189.07 / $408.98	Professional		$146.60	$189.07	$408.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $93.61 / $171.66	Professional		$65.01	$93.61	$171.66
United Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $31.00	Facility		$31.00	$31.00	$31.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $176.60 / $508.69	Professional		$129.33	$176.60	$508.69