Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $8,317.64	Facility		$100.00	$162.18	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $186.21	Professional		$70.79	$85.11	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $74.13	Professional		$66.07	$74.13	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $194.98	Facility		$79.43	$91.20	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $120.23	Professional		$72.44	$75.86	$120.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $165.96	Facility		$81.28	$89.13	$165.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $162.18	Professional		$74.13	$85.11	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $74.13	Facility		$69.18	$69.18	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $97.72	Professional		$72.44	$72.44	$97.72
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $128.82	Professional		$66.07	$81.28	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $79.43 / $128.82	Facility		$72.44	$79.43	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Professional		$74.13	$74.13	$95.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $125.89	Professional		$58.88	$81.28	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $269.15 / $269.15	Facility		$74.13	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Professional		$74.13	$74.13	$95.50