Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,023.29 / $2,290.87	Facility		$363.08	$1,023.29	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $794.33	Professional		$169.82	$239.88	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $616.60 / $1,318.26	Facility		$123.03	$616.60	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $602.56	Professional		$229.09	$275.42	$602.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $691.83 / $2,818.38	Facility		$61.66	$691.83	$2,818.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $741.31	Professional		$169.82	$234.42	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $467.74 / $891.25	Facility		$186.21	$467.74	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $676.08	Professional		$144.54	$190.55	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $354.81	Professional		$208.93	$263.03	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $457.09	Professional		$234.42	$288.40	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $1,995.26	Professional		$1,318.26	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $316.23 / $776.25	Facility		$218.78	$316.23	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $588.84	Professional		$147.91	$269.15	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $3,162.28	Professional		$208.93	$263.03	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $263.03	Facility		$109.65	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $501.19	Professional		$109.65	$123.03	$501.19