Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.02 / $388.59 / $388.59	Facility		$362.02	$388.59	$388.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.08 / $398.22 / $553.80	Professional		$347.08	$398.22	$553.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.93 / $386.93 / $500.00	Professional		$386.93	$386.93	$500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.67 / $479.67 / $2,170.85	Facility		$479.67	$479.67	$2,170.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.15 / $480.00 / $877.28	Professional		$350.15	$480.00	$877.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $180.00 / $305.00	Facility		$100.00	$180.00	$305.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $435.89 / $661.97 / $1,347.64	Professional		$435.89	$661.97	$1,347.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $321.00 / $468.71	Facility		$150.00	$321.00	$468.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.81 / $532.54 / $984.85	Professional		$386.81	$532.54	$984.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $667.40 / $667.40 / $800.88	Professional		$667.40	$667.40	$800.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.00 / $714.00 / $1,149.00	Professional		$545.00	$714.00	$1,149.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $873.14 / $1,907.43 / $2,182.01	Facility		$873.14	$1,907.43	$2,182.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,676.50 / $2,676.50 / $3,520.35	Professional		$2,676.50	$2,676.50	$3,520.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $359.48	Professional		$60.00	$85.00	$359.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.07 / $539.80 / $745.00	Facility		$381.07	$539.80	$745.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.90 / $531.49 / $939.48	Professional		$385.90	$531.49	$939.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $667.40 / $957.32 / $1,001.10	Professional		$667.40	$957.32	$1,001.10
United Facility/Professional Facility Modifier Low / Median / High Price $734.72 / $734.72 / $734.72	Facility		$734.72	$734.72	$734.72
United Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $384.06 / $775.91	Professional		$288.95	$384.06	$775.91