Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.51 / $124.13 / $598.07	Facility		$89.51	$124.13	$598.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $175.54 / $537.40	Professional		$97.40	$175.54	$537.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $151.53 / $313.80	Professional		$127.61	$151.53	$313.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.76 / $126.21 / $142.41	Facility		$108.76	$126.21	$142.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $160.49 / $274.07	Professional		$110.93	$160.49	$274.07
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 $117.55 / $172.40 / $387.11	Professional		$117.55	$172.40	$387.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $152.08 / $152.08	Facility		$93.00	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $165.89 / $334.76	Professional		$108.28	$165.89	$334.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $132.19 / $158.63	Professional		$132.19	$132.19	$158.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $176.42 / $300.00	Professional		$114.67	$176.42	$300.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $486.84 / $555.89 / $555.89	Facility		$486.84	$555.89	$555.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $725.74 / $944.96 / $944.96	Professional		$725.74	$944.96	$944.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $211.25	Professional		$60.00	$85.00	$211.25
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $159.77 / $246.32	Professional		$105.00	$159.77	$246.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.07 / $151.12 / $229.35	Facility		$94.07	$151.12	$229.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $184.77 / $361.69	Professional		$112.34	$184.77	$361.69
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 / $162.52 / $246.32	Professional		$105.00	$162.52	$246.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $139.90 / $196.06	Professional		$101.74	$139.90	$196.06
United Facility/Professional Facility Modifier Low / Median / High Price $170.74 / $170.74 / $170.74	Facility		$170.74	$170.74	$170.74
United Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $150.63 / $349.21	Professional		$109.09	$150.63	$349.21