Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $42.90 / $479.55	Facility		$40.15	$42.90	$479.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $53.24 / $221.22	Professional		$40.14	$53.24	$221.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $96.74 / $132.97	Professional		$74.80	$96.74	$132.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $239.91 / $527.60	Facility		$62.40	$239.91	$527.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $83.38 / $131.31	Professional		$60.82	$83.38	$131.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $196.78 / $351.39	Facility		$97.00	$196.78	$351.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $220.53 / $513.71	Professional		$89.83	$220.53	$513.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.90 / $86.64 / $91.83	Facility		$76.90	$86.64	$91.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $92.36	Professional		$63.25	$63.25	$92.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $106.62 / $182.83	Professional		$88.85	$106.62	$182.83
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $99.72 / $99.72	Professional		$99.72	$99.72	$99.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $116.35 / $257.63	Professional		$99.73	$116.35	$257.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $253.06 / $670.88 / $789.50	Facility		$253.06	$670.88	$789.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $868.37 / $889.20 / $1,108.65	Professional		$868.37	$889.20	$1,108.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $265.33 / $265.33	Professional		$265.33	$265.33	$265.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $133.27 / $167.85	Facility		$40.15	$133.27	$167.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $126.55	Professional		$63.25	$86.64	$126.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $313.70 / $313.70	Professional		$313.70	$313.70	$313.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $132.97 / $133.28	Professional		$88.85	$132.97	$133.28
United Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $62.19 / $154.19	Professional		$56.47	$62.19	$154.19