Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.21 / $246.22 / $246.22	Facility		$222.21	$246.22	$246.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.82 / $296.85 / $552.04	Professional		$204.82	$296.85	$552.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.13 / $288.64 / $491.04	Professional		$263.13	$288.64	$491.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.14 / $302.14 / $1,367.41	Facility		$302.14	$302.14	$1,367.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.30 / $316.00 / $571.32	Professional		$251.30	$316.00	$571.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.57 / $252.99 / $578.16	Professional		$173.57	$252.99	$578.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.22 / $325.08 / $673.84	Professional		$241.22	$325.08	$673.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $334.10 / $451.04	Professional		$193.20	$334.10	$451.04
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $303.74 / $371.24 / $473.90	Professional		$303.74	$371.24	$473.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $337.91 / $537.58	Professional		$270.64	$337.91	$537.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $675.08 / $1,332.16 / $1,459.15	Facility		$675.08	$1,332.16	$1,459.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,893.50 / $1,893.50 / $2,394.44	Professional		$1,893.50	$1,893.50	$2,394.44
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 $264.45 / $360.46 / $500.59	Facility		$264.45	$360.46	$500.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.61 / $367.51 / $730.30	Professional		$247.61	$367.51	$730.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $779.24 / $779.24 / $779.24	Professional		$779.24	$779.24	$779.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $269.99 / $371.24	Professional		$193.20	$269.99	$371.24
United Facility/Professional Professional Modifier Low / Median / High Price $188.72 / $248.69 / $492.77	Professional		$188.72	$248.69	$492.77