Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $276.66	Facility		$60.05	$60.05	$276.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.05 / $219.00	Professional		$53.70	$66.05	$219.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.24 / $65.20	Professional		$57.54	$63.24	$65.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $153.18 / $358.14	Facility		$69.06	$153.18	$358.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $56.30 / $98.51	Professional		$49.74	$56.30	$98.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $117.32 / $209.50	Facility		$93.70	$117.32	$209.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $127.23 / $296.36	Professional		$51.82	$127.23	$296.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $61.21 / $72.06	Facility		$61.21	$61.21	$72.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $65.25	Professional		$44.68	$44.68	$65.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $72.05 / $105.49	Professional		$60.04	$72.05	$105.49
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $66.95	Professional		$66.95	$66.95	$66.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.13 / $148.65	Professional		$57.54	$67.13	$148.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $474.60 / $474.60	Facility		$100.00	$474.60	$474.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $521.73 / $521.73 / $719.25	Professional		$521.73	$521.73	$719.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.59 / $196.59 / $196.59	Professional		$196.59	$196.59	$196.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $95.90 / $116.90	Facility		$61.21	$95.90	$116.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $61.21 / $95.90	Professional		$44.68	$61.21	$95.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.98 / $180.98 / $180.98	Professional		$180.98	$180.98	$180.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $76.72 / $86.31	Professional		$60.04	$76.72	$86.31
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $127.86 / $127.86	Facility		$108.68	$127.86	$127.86
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $47.84 / $92.75	Professional		$45.04	$47.84	$92.75