Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $107.18 / $520.44	Facility		$72.93	$107.18	$520.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $150.81 / $461.12	Professional		$80.31	$150.81	$461.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $132.12 / $348.06	Professional		$111.26	$132.12	$348.06
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 $90.40 / $133.37 / $237.51	Professional		$90.40	$133.37	$237.51
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 $101.47 / $146.21 / $324.54	Professional		$101.47	$146.21	$324.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $125.60 / $125.60	Facility		$86.00	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $140.57 / $284.87	Professional		$88.83	$140.57	$284.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $114.10 / $136.91	Professional		$114.10	$114.10	$136.91
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $243.36 / $243.36 / $243.36	Professional		$243.36	$243.36	$243.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $154.36 / $262.41	Professional		$94.62	$154.36	$262.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $412.83 / $458.76 / $458.76	Facility		$412.83	$458.76	$458.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $817.69 / $817.69	Professional		$598.54	$817.69	$817.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $182.82	Professional		$60.00	$85.00	$182.82
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $139.94 / $246.32	Professional		$105.00	$139.94	$246.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $126.15 / $198.87	Facility		$82.09	$126.15	$198.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $157.81 / $312.72	Professional		$92.38	$157.81	$312.72
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $141.47 / $246.32	Professional		$105.00	$141.47	$246.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $115.38 / $171.55	Professional		$83.91	$115.38	$171.55
United Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $148.16 / $148.16	Facility		$148.16	$148.16	$148.16
United Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $129.79 / $313.77	Professional		$94.18	$129.79	$313.77