Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $316.23 / $338.84	Facility		$309.03	$316.23	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $537.03	Professional		$288.40	$331.13	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $309.03	Professional		$275.42	$295.12	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $323.59 / $323.59	Facility		$281.84	$323.59	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $794.33	Professional		$281.84	$371.54	$794.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $870.96	Professional		$338.84	$436.52	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $794.33	Professional		$331.13	$416.87	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $467.74	Professional		$288.40	$346.74	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $549.54	Professional		$263.03	$354.81	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $371.54 / $575.44	Facility		$302.00	$371.54	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $812.83	Professional		$323.59	$426.58	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Professional		$1,047.13	$1,047.13	$1,071.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $489.78	Professional		$275.42	$354.81	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $707.95	Professional		$263.03	$354.81	$707.95