Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $64.76 / $76.19	Facility		$57.14	$64.76	$76.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $59.93 / $80.13	Professional		$46.28	$59.93	$80.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $83.00 / $83.00	Facility		$77.20	$83.00	$83.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $76.93 / $150.83	Professional		$57.42	$76.93	$150.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $60.52 / $102.11	Professional		$48.82	$60.52	$102.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $82.59 / $186.78	Professional		$57.91	$82.59	$186.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $59.61 / $71.53	Professional		$59.61	$59.61	$71.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $66.45 / $102.11	Professional		$58.29	$66.45	$102.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $284.58 / $776.56 / $776.56	Facility		$284.58	$776.56	$776.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.04 / $1,114.04 / $1,114.04	Professional		$1,114.04	$1,114.04	$1,114.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $60.00 / $94.77	Professional		$56.86	$60.00	$94.77
Optum Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $66.13 / $88.36	Professional		$52.57	$66.13	$88.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $74.20 / $94.92	Facility		$56.53	$74.20	$94.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $84.60 / $171.61	Professional		$50.00	$84.60	$171.61
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $72.00	Facility		$50.00	$60.00	$72.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $66.27 / $88.36	Professional		$52.57	$66.27	$88.36
United Facility/Professional Facility Modifier Low / Median / High Price $50.07 / $50.07 / $75.42	Facility		$50.07	$50.07	$75.42
United Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $67.31 / $149.56	Professional		$52.57	$67.31	$149.56