Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.53 / $225.76 / $1,456.00	Facility		$195.53	$225.76	$1,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.77 / $212.32 / $587.12	Professional		$189.77	$212.32	$587.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $219.72 / $398.39	Professional		$197.44	$219.72	$398.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $250.65 / $660.12	Facility		$207.31	$250.65	$660.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.15 / $272.63 / $633.34	Professional		$216.15	$272.63	$633.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $146.41 / $571.08	Facility		$92.60	$146.41	$571.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $224.75 / $518.22	Professional		$156.91	$224.75	$518.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $248.92 / $752.92	Facility		$210.74	$248.92	$752.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $268.48 / $656.10	Professional		$196.20	$268.48	$656.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $296.25 / $355.50	Professional		$175.99	$296.25	$355.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $300.67 / $553.16	Professional		$219.38	$300.67	$553.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.92 / $1,003.13 / $1,194.33	Facility		$422.92	$1,003.13	$1,194.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.85 / $1,509.85 / $1,851.90	Professional		$1,509.85	$1,509.85	$1,851.90
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 $200.12 / $277.54 / $402.90	Facility		$200.12	$277.54	$402.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $279.20 / $575.28	Professional		$203.46	$279.20	$575.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $721.37 / $721.37 / $721.37	Professional		$721.37	$721.37	$721.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $228.78 / $263.98 / $329.53	Professional		$228.78	$263.98	$329.53
United Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,523.00 / $6,323.00	Facility		$585.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $211.05 / $478.90	Professional		$158.44	$211.05	$478.90