Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.33 / $111.83 / $111.83	Facility		$100.33	$111.83	$111.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $105.51 / $195.49	Professional		$96.23	$105.51	$195.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $101.20 / $101.20	Professional		$101.20	$101.20	$101.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.81 / $144.81 / $655.35	Facility		$144.81	$144.81	$655.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $154.21 / $291.99	Professional		$112.03	$154.21	$291.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $141.22 / $492.00	Facility		$92.60	$141.22	$492.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.43 / $295.30	Professional		$100.00	$141.43	$295.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $800.00 / $1,734.00	Facility		$157.63	$800.00	$1,734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $137.82 / $274.77	Professional		$106.00	$137.82	$274.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $153.36 / $194.50	Professional		$112.85	$153.36	$194.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $118.49 / $232.00	Professional		$93.05	$118.49	$232.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $237.78 / $2,256.91 / $2,256.91	Facility		$237.78	$2,256.91	$2,256.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.82 / $1,356.40 / $1,356.40	Professional		$1,079.82	$1,356.40	$1,356.40
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 $100.33 / $132.38 / $273.50	Facility		$100.33	$132.38	$273.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $151.88 / $271.35	Professional		$108.40	$151.88	$271.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $339.78 / $339.78 / $339.78	Professional		$339.78	$339.78	$339.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $125.38 / $278.99	Professional		$91.18	$125.38	$278.99
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $108.78 / $224.46	Professional		$80.19	$108.78	$224.46