Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $260.69 / $266.24	Facility		$241.82	$260.69	$266.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.36 / $260.29 / $389.52	Professional		$225.36	$260.29	$389.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.81 / $238.40 / $276.39	Professional		$234.81	$238.40	$276.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $293.00 / $876.00	Facility		$203.00	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.69 / $269.17 / $505.85	Professional		$218.69	$269.17	$505.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $283.52 / $680.29	Professional		$198.46	$283.52	$680.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $327.92 / $683.76	Professional		$257.83	$327.92	$683.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $224.28 / $283.33 / $382.50	Professional		$224.28	$283.33	$382.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.75 / $278.04 / $500.63	Professional		$225.75	$278.04	$500.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.20 / $1,218.38 / $1,218.38	Facility		$1,120.20	$1,218.38	$1,218.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.95 / $2,023.28 / $5,040.00	Professional		$1,552.95	$2,023.28	$5,040.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $302.66 / $416.04	Facility		$241.82	$302.66	$416.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.63 / $366.54 / $670.28	Professional		$263.63	$366.54	$670.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $822.52 / $822.52 / $838.15	Professional		$822.52	$822.52	$838.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $224.06 / $257.51 / $336.42	Professional		$224.06	$257.51	$336.42
United Facility/Professional Facility Modifier Low / Median / High Price $288.66 / $288.66 / $288.66	Facility		$288.66	$288.66	$288.66
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $285.87 / $652.99	Professional		$205.24	$285.87	$652.99