Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.29 / $184.10 / $184.10	Facility		$166.29	$184.10	$184.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $205.54 / $694.68	Professional		$164.43	$205.54	$694.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $194.25 / $335.81	Professional		$177.92	$194.25	$335.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.26 / $217.26 / $983.26	Facility		$217.26	$217.26	$983.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.85 / $225.40 / $430.20	Professional		$171.85	$225.40	$430.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $125.02 / $182.59 / $417.28	Professional		$125.02	$182.59	$417.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $235.36 / $496.95	Professional		$176.74	$235.36	$496.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $234.23 / $316.20	Professional		$139.30	$234.23	$316.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.82 / $235.22 / $399.88	Professional		$189.82	$235.22	$399.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $461.21 / $920.42 / $1,015.74	Facility		$461.21	$920.42	$1,015.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,352.50 / $1,657.35	Professional		$1,352.50	$1,352.50	$1,657.35
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 $189.04 / $252.00 / $362.11	Facility		$189.04	$252.00	$362.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $264.91 / $509.29	Professional		$183.68	$264.91	$509.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.36 / $602.36 / $602.36	Professional		$602.36	$602.36	$602.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $189.31 / $260.30	Professional		$139.30	$189.31	$260.30
United Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $188.28 / $381.43	Professional		$141.38	$188.28	$381.43