Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $218.78	Facility		$199.53	$204.17	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $512.86	Professional		$186.21	$218.78	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $218.78 / $234.42	Professional		$213.80	$218.78	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $208.93	Facility		$181.97	$208.93	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $512.86	Professional		$181.97	$239.88	$512.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $562.34	Professional		$218.78	$281.84	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $524.81	Professional		$213.80	$269.15	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $309.03	Professional		$186.21	$223.87	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $354.81	Professional		$169.82	$229.09	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,698.24	Professional		$1,288.25	$1,698.24	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $302.00	Professional		$177.83	$177.83	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $239.88 / $371.54	Facility		$194.98	$239.88	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $524.81	Professional		$213.80	$275.42	$524.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $691.83	Professional		$676.08	$676.08	$691.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $316.23	Professional		$181.97	$229.09	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $457.09	Professional		$169.82	$229.09	$457.09