Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $107.18 / $535.90	Facility		$72.93	$107.18	$535.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $123.04 / $430.49	Professional		$73.12	$123.04	$430.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $125.00 / $160.00	Professional		$114.34	$125.00	$160.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.63 / $102.85 / $116.05	Facility		$88.63	$102.85	$116.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $136.81 / $235.17	Professional		$91.56	$136.81	$235.17
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 $104.65 / $152.16 / $341.62	Professional		$104.65	$152.16	$341.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $143.77 / $288.16	Professional		$90.57	$143.77	$288.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $65.78 / $78.94	Professional		$65.78	$65.78	$78.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $158.55 / $285.39	Professional		$98.79	$158.55	$285.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $418.56 / $478.90 / $478.90	Facility		$418.56	$478.90	$478.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $623.77 / $842.92 / $842.92	Professional		$623.77	$842.92	$842.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $188.09	Professional		$60.00	$85.00	$188.09
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $144.46 / $246.32	Professional		$105.00	$144.46	$246.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $131.07 / $200.24	Facility		$78.84	$131.07	$200.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $162.78 / $323.29	Professional		$95.02	$162.78	$323.29
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $162.00	Facility		$105.00	$105.00	$162.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $146.05 / $246.32	Professional		$105.00	$146.05	$246.32
United Facility/Professional Facility Modifier Low / Median / High Price $152.37 / $152.37 / $152.37	Facility		$152.37	$152.37	$152.37
United Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $135.44 / $323.44	Professional		$96.75	$135.44	$323.44