Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $72.00 / $387.43	Facility		$60.49	$72.00	$387.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $60.49 / $221.76	Professional		$52.43	$60.49	$221.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $71.08 / $89.96	Professional		$60.42	$71.08	$89.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $189.21 / $426.21	Facility		$45.94	$189.21	$426.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $61.34 / $108.41	Professional		$56.88	$61.34	$108.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.97 / $283.88	Facility		$95.50	$158.97	$283.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $178.15 / $414.99	Professional		$72.56	$178.15	$414.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $68.22 / $73.06	Facility		$62.76	$68.22	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $73.06	Professional		$49.80	$49.80	$73.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $86.14 / $147.69	Professional		$71.78	$86.14	$147.69
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $80.56 / $80.56	Professional		$80.56	$80.56	$80.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $93.99 / $208.12	Professional		$80.56	$93.99	$208.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.64 / $535.05 / $637.78	Facility		$218.64	$535.05	$637.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $835.47 / $855.54 / $855.54	Professional		$835.47	$855.54	$855.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $212.31	Professional		$70.00	$70.00	$212.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $107.66 / $136.09	Facility		$32.44	$107.66	$136.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $108.29	Professional		$49.80	$68.22	$108.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $253.44 / $253.44 / $253.44	Professional		$253.44	$253.44	$253.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $107.42 / $107.67	Professional		$71.78	$107.42	$107.67
United Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $50.24 / $124.03	Professional		$45.62	$50.24	$124.03