Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.02 / $130.57 / $130.57	Facility		$117.02	$130.57	$130.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $127.29 / $239.34	Professional		$114.31	$127.29	$239.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $112.54 / $121.18	Professional		$112.54	$112.54	$121.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $669.42	Facility		$147.91	$147.91	$669.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $159.65 / $303.66	Professional		$123.32	$159.65	$303.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $100.00 / $391.73	Facility		$88.92	$100.00	$391.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.59 / $310.43	Professional		$100.00	$144.59	$310.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $250.00 / $550.00	Facility		$96.43	$250.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $153.93 / $322.93	Professional		$119.45	$153.93	$322.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $134.28 / $181.28	Professional		$108.24	$134.28	$181.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $138.91 / $283.26	Professional		$110.84	$138.91	$283.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $283.52 / $1,564.67 / $1,564.67	Facility		$283.52	$1,564.67	$1,564.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.68 / $1,165.68 / $1,165.68	Professional		$1,165.68	$1,165.68	$1,165.68
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 $118.97 / $153.97 / $279.33	Facility		$118.97	$153.97	$279.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $172.84 / $322.93	Professional		$120.97	$172.84	$322.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $404.58 / $404.58 / $404.58	Professional		$404.58	$404.58	$404.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $137.28 / $196.91	Professional		$108.24	$137.28	$196.91
United Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Facility		$99.00	$99.00	$99.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $124.64 / $268.41	Professional		$94.77	$124.64	$268.41