Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.08 / $722.34 / $2,221.00	Facility		$154.08	$722.34	$2,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $190.06 / $721.98	Professional		$138.57	$190.06	$721.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $199.20 / $388.99	Professional		$145.11	$199.20	$388.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.56 / $206.86 / $2,914.00	Facility		$170.56	$206.86	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $223.54 / $443.84	Professional		$170.56	$223.54	$443.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $190.76 / $465.02	Professional		$132.72	$190.76	$465.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.05 / $682.35 / $808.18	Facility		$613.05	$682.35	$808.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $202.71 / $461.92	Professional		$142.11	$202.71	$461.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $192.91 / $260.43	Professional		$144.24	$192.91	$260.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.57 / $204.26 / $390.76	Professional		$157.57	$204.26	$390.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $441.76 / $843.70 / $843.70	Facility		$441.76	$843.70	$843.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,519.00 / $2,519.00 / $2,519.00	Professional		$2,519.00	$2,519.00	$2,519.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.27 / $216.10 / $406.25	Facility		$160.27	$216.10	$406.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $212.02 / $442.33	Professional		$148.69	$212.02	$442.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $552.10 / $552.10 / $552.10	Professional		$552.10	$552.10	$552.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $214.30 / $512.32	Professional		$155.86	$214.30	$512.32
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $656.00 / $656.00	Facility		$656.00	$656.00	$656.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $217.89 / $487.54	Professional		$125.35	$217.89	$487.54