Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.89 / $332.04 / $44,336.00	Facility		$60.89	$332.04	$44,336.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $82.79 / $52,812.66	Professional		$60.29	$82.79	$52,812.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $96.15 / $114.19	Professional		$58.56	$96.15	$114.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $96.30 / $236.24	Facility		$63.96	$96.30	$236.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $60.78 / $124.14	Professional		$58.56	$60.78	$124.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.97 / $63.69 / $100.00	Facility		$58.97	$63.69	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.30 / $144.07	Professional		$60.29	$63.30	$144.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $56.88 / $60.29	Facility		$56.88	$56.88	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $72.19	Professional		$60.29	$60.29	$72.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $59.35 / $77.76	Professional		$57.60	$59.35	$77.76
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $68.17 / $68.17	Professional		$68.17	$68.17	$68.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $72.34 / $136.63	Professional		$54.26	$72.34	$136.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $295.42 / $301.45	Facility		$78.95	$295.42	$301.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.12 / $2,460.12 / $2,460.12	Professional		$2,460.12	$2,460.12	$2,460.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $118.08 / $118.08	Professional		$57.60	$118.08	$118.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $62.70 / $102.44	Facility		$60.29	$62.70	$102.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $72.78	Professional		$60.29	$60.29	$72.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $90.50 / $90.50	Professional		$90.50	$90.50	$90.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $60.29 / $90.44	Professional		$48.23	$60.29	$90.44
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.91 / $115.82	Professional		$60.29	$63.91	$115.82