Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.22 / $217.58 / $1,230.85	Facility		$198.22	$217.58	$1,230.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.06 / $213.74 / $614.48	Professional		$189.06	$213.74	$614.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $206.97 / $337.86	Professional		$178.61	$206.97	$337.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.29 / $293.00 / $876.00	Facility		$178.29	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.29 / $221.13 / $414.54	Professional		$179.29	$221.13	$414.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $231.70 / $556.10	Professional		$162.19	$231.70	$556.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.37 / $270.14 / $560.49	Professional		$211.37	$270.14	$560.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $233.80 / $315.63	Professional		$183.29	$233.80	$315.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $231.47 / $411.78	Professional		$186.37	$231.47	$411.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $923.41 / $1,005.67 / $1,005.67	Facility		$923.41	$1,005.67	$1,005.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.01 / $1,666.58 / $2,520.00	Professional		$1,279.01	$1,666.58	$2,520.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $298.99	Professional		$32.34	$32.34	$298.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.22 / $249.76 / $342.69	Facility		$198.22	$249.76	$342.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.33 / $300.16 / $550.78	Professional		$216.33	$300.16	$550.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $674.34 / $674.34 / $685.16	Professional		$674.34	$674.34	$685.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $212.50 / $274.94	Professional		$185.18	$212.50	$274.94
United Facility/Professional Facility Modifier Low / Median / High Price $238.12 / $238.12 / $238.12	Facility		$238.12	$238.12	$238.12
United Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $232.65 / $579.79	Professional		$167.72	$232.65	$579.79