Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.29 / $299.51 / $299.51	Facility		$270.29	$299.51	$299.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.54 / $359.22 / $534.88	Professional		$241.54	$359.22	$534.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.32 / $336.99 / $406.19	Professional		$304.32	$336.99	$406.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.61 / $375.61 / $1,699.89	Facility		$375.61	$375.61	$1,699.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $392.82 / $710.22	Professional		$306.00	$392.82	$710.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $215.67 / $313.91 / $709.18	Professional		$215.67	$313.91	$709.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $392.72 / $820.88	Professional		$290.77	$392.72	$820.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $400.82 / $541.11	Professional		$240.00	$400.82	$541.11
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $364.25 / $364.25 / $364.25	Professional		$364.25	$364.25	$364.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $406.19 / $646.21	Professional		$325.39	$406.19	$646.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $815.81 / $1,604.63 / $1,753.99	Facility		$815.81	$1,604.63	$1,753.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.30 / $2,326.30 / $2,882.48	Professional		$2,326.30	$2,326.30	$2,882.48
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 $317.49 / $433.86 / $609.28	Facility		$317.49	$433.86	$609.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.67 / $445.17 / $888.30	Professional		$297.67	$445.17	$888.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $926.92 / $926.92 / $926.92	Professional		$926.92	$926.92	$926.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $323.89 / $445.36	Professional		$240.00	$323.89	$445.36
United Facility/Professional Professional Modifier Low / Median / High Price $225.96 / $303.33 / $585.77	Professional		$225.96	$303.33	$585.77