Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $61.09 / $211.15	Facility		$18.23	$61.09	$211.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $55.54 / $197.00	Professional		$39.67	$55.54	$197.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $60.29 / $74.84	Professional		$44.25	$60.29	$74.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $124.09 / $279.52	Facility		$30.13	$124.09	$279.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $40.10 / $74.76	Professional		$32.22	$40.10	$74.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.49 / $104.27 / $186.20	Facility		$92.49	$104.27	$186.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $116.85 / $272.17	Professional		$47.59	$116.85	$272.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $45.70 / $47.08	Facility		$40.75	$45.70	$47.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $87.38	Professional		$33.36	$33.36	$87.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $56.50 / $96.87	Professional		$47.08	$56.50	$96.87
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $52.83 / $65.16	Professional		$46.11	$52.83	$65.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $61.64 / $136.49	Professional		$52.84	$61.64	$136.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.06 / $358.44 / $418.29	Facility		$135.06	$358.44	$418.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $506.84 / $518.99 / $660.45	Professional		$506.84	$518.99	$660.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $198.33	Professional		$198.33	$198.33	$198.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $74.84 / $89.26	Facility		$21.28	$74.84	$89.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $87.38	Professional		$33.36	$33.36	$87.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $166.20 / $166.20 / $166.20	Professional		$166.20	$166.20	$166.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $70.45 / $70.62	Professional		$47.08	$70.45	$70.62
United Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $32.95 / $81.34	Professional		$30.47	$32.95	$81.34