Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $407.38 / $1,023.29	Facility		$199.53	$407.38	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $660.69	Professional		$93.33	$151.36	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $281.84	Professional		$70.79	$70.79	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $331.13 / $707.95	Facility		$109.65	$331.13	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $380.19	Professional		$144.54	$173.78	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $398.11 / $1,737.80	Facility		$61.66	$398.11	$1,737.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $446.68	Professional		$102.33	$141.25	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $251.19 / $524.81	Facility		$109.65	$251.19	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $407.38	Professional		$83.18	$120.23	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $190.55	Professional		$61.66	$141.25	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $251.19	Professional		$128.82	$158.49	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,071.52	Professional		$707.95	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $416.87	Facility		$117.49	$177.83	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $380.19	Professional		$83.18	$151.36	$380.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $141.25	Professional		$61.66	$85.11	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $141.25	Facility		$60.26	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $275.42	Professional		$60.26	$74.13	$275.42