Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.96 / $214.59 / $219.72	Facility		$198.96	$214.59	$219.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.88 / $211.54 / $323.62	Professional		$184.88	$211.54	$323.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.52 / $263.44 / $1,056.00	Professional		$197.52	$263.44	$1,056.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.95 / $293.00 / $876.00	Facility		$178.95	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $221.87 / $416.08	Professional		$179.96	$221.87	$416.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $233.82 / $561.03	Professional		$163.66	$233.82	$561.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.15 / $271.08 / $562.52	Professional		$212.15	$271.08	$562.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $184.97 / $234.11 / $316.05	Professional		$184.97	$234.11	$316.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $228.87 / $422.02	Professional		$185.87	$228.87	$422.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $920.42 / $1,002.77 / $1,002.77	Facility		$920.42	$1,002.77	$1,002.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.63 / $1,299.72 / $1,693.73	Professional		$1,273.63	$1,299.72	$1,693.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $298.86	Professional		$32.34	$32.34	$298.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.96 / $249.25 / $341.42	Facility		$198.96	$249.25	$341.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $302.61 / $549.88	Professional		$217.25	$302.61	$549.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.75 / $676.75 / $691.17	Professional		$676.75	$676.75	$691.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $184.70 / $212.80 / $277.45	Professional		$184.70	$212.80	$277.45
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 $169.12 / $234.60 / $585.04	Professional		$169.12	$234.60	$585.04