Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.45 / $637.41 / $1,827.00	Facility		$125.45	$637.41	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $147.02 / $649.00	Professional		$113.09	$147.02	$649.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.58 / $570.00 / $876.00	Facility		$45.58	$570.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $151.71 / $317.57	Professional		$105.62	$151.71	$317.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $393.55	Facility		$57.50	$100.00	$393.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $105.99 / $275.69	Professional		$82.40	$105.99	$275.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.04 / $620.40 / $1,412.07	Facility		$252.04	$620.40	$1,412.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $185.53 / $469.64	Professional		$96.72	$185.53	$469.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $201.45 / $271.95	Professional		$59.55	$201.45	$271.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $200.75 / $363.95	Professional		$144.54	$200.75	$363.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.26 / $697.88 / $823.22	Facility		$309.26	$697.88	$823.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.11 / $1,029.11 / $1,288.43	Professional		$1,029.11	$1,029.11	$1,288.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $108.69	Professional		$32.34	$32.34	$108.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $192.72 / $394.33	Facility		$110.50	$192.72	$394.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $214.05 / $453.15	Professional		$103.32	$214.05	$453.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $543.64 / $543.64 / $543.64	Professional		$543.64	$543.64	$543.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $162.94 / $224.05	Professional		$89.33	$162.94	$224.05
United Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $241.74 / $241.74	Facility		$241.74	$241.74	$241.74
United Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $165.29 / $456.13	Professional		$76.45	$165.29	$456.13