Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.01 / $164.82 / $932.01	Facility		$151.01	$164.82	$932.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.65 / $163.50 / $419.80	Professional		$141.65	$163.50	$419.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $172.86 / $824.00	Professional		$142.19	$172.86	$824.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $293.00 / $876.00	Facility		$137.97	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $170.56 / $315.68	Professional		$136.61	$170.56	$315.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $175.72 / $423.18	Professional		$123.00	$175.72	$423.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.05 / $205.44 / $421.72	Professional		$161.05	$205.44	$421.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $182.01 / $245.71	Professional		$139.05	$182.01	$245.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $178.64 / $328.28	Professional		$145.04	$178.64	$328.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $719.08 / $782.75 / $782.75	Facility		$719.08	$782.75	$782.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $970.00 / $978.66 / $1,321.28	Professional		$970.00	$978.66	$1,321.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $231.63	Professional		$32.34	$32.34	$231.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.01 / $193.16 / $263.66	Facility		$151.01	$193.16	$263.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $227.28 / $414.21	Professional		$164.25	$227.28	$414.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $514.25 / $514.25 / $520.26	Professional		$514.25	$514.25	$520.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $165.43 / $208.57	Professional		$144.07	$165.43	$208.57
United Facility/Professional Facility Modifier Low / Median / High Price $184.53 / $184.53 / $184.53	Facility		$184.53	$184.53	$184.53
United Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $172.90 / $431.36	Professional		$127.40	$172.90	$431.36