Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.38 / $332.49 / $340.17	Facility		$308.38	$332.49	$340.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.88 / $321.73 / $430.45	Professional		$290.88	$321.73	$430.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $302.42 / $350.61	Professional		$298.36	$302.42	$350.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $323.41 / $876.00	Facility		$203.00	$323.41	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $343.00 / $644.97	Professional		$278.89	$343.00	$644.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $253.51 / $362.16 / $866.78	Professional		$253.51	$362.16	$866.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.82 / $418.71 / $869.79	Professional		$328.82	$418.71	$869.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $286.48 / $358.98 / $484.62	Professional		$286.48	$358.98	$484.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.36 / $352.65 / $633.17	Professional		$286.36	$352.65	$633.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,421.46 / $1,545.32 / $1,545.32	Facility		$1,421.46	$1,545.32	$1,545.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.07 / $2,566.19 / $7,560.00	Professional		$1,974.07	$2,566.19	$7,560.00
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 $306.49 / $384.94 / $528.29	Facility		$306.49	$384.94	$528.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.24 / $467.70 / $850.88	Professional		$336.24	$467.70	$850.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,049.03 / $1,049.03 / $1,070.66	Professional		$1,049.03	$1,049.03	$1,070.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $326.26 / $429.73	Professional		$284.06	$326.26	$429.73
United Facility/Professional Facility Modifier Low / Median / High Price $362.93 / $362.93 / $362.93	Facility		$362.93	$362.93	$362.93
United Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $363.54 / $889.03	Professional		$262.08	$363.54	$889.03