Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $36.50 / $386.91	Facility		$36.50	$36.50	$386.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $40.15 / $127.64	Professional		$36.50	$40.15	$127.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $84.98 / $89.85	Professional		$75.92	$84.98	$89.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $198.15 / $425.67	Facility		$54.52	$198.15	$425.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $71.83 / $105.38	Professional		$55.28	$71.83	$105.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.79 / $283.55	Facility		$95.50	$158.79	$283.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $177.93 / $414.44	Professional		$72.48	$177.93	$414.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $70.80 / $74.27	Facility		$62.05	$70.80	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $131.25	Professional		$51.68	$51.68	$131.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $79.26 / $147.51	Professional		$66.05	$79.26	$147.51
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $99.23 / $99.23	Professional		$99.23	$99.23	$99.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $93.87 / $207.86	Professional		$80.45	$93.87	$207.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.02 / $636.98 / $636.98	Facility		$230.02	$636.98	$636.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $736.54 / $736.54 / $869.70	Professional		$736.54	$736.54	$869.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.28 / $232.28 / $232.28	Professional		$232.28	$232.28	$232.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $113.31 / $134.10	Facility		$36.50	$113.31	$134.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $124.01	Professional		$51.68	$51.68	$124.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $253.10 / $253.10 / $253.10	Professional		$253.10	$253.10	$253.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $107.28 / $107.28	Professional		$66.05	$107.28	$107.28
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $56.53 / $127.59	Professional		$51.33	$56.53	$127.59