Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $222.33 / $430.99	Professional		$155.87	$222.33	$430.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $340.14 / $340.14 / $340.14	Professional		$340.14	$340.14	$340.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $25.80 / $611.41	Facility		$23.28	$25.80	$611.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $359.10 / $481.82	Professional		$258.00	$359.10	$481.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $602.42 / $602.42 / $602.42	Facility		$602.42	$602.42	$602.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $211.09 / $404.23	Professional		$100.00	$211.09	$404.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $404.23	Facility		$243.78	$243.78	$404.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $243.78 / $430.88	Professional		$207.21	$243.78	$430.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $369.34 / $369.34 / $443.21	Professional		$369.34	$369.34	$443.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.11 / $317.45 / $612.25	Professional		$272.11	$317.45	$612.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $466.34 / $1,749.66 / $1,749.66	Facility		$466.34	$1,749.66	$1,749.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $267.39 / $508.84	Facility		$161.62	$267.39	$508.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $243.78 / $297.33	Professional		$207.21	$243.78	$297.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $737.20 / $737.20 / $737.20	Professional		$737.20	$737.20	$737.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $286.66 / $369.34	Professional		$286.66	$286.66	$369.34
United Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $202.18 / $333.85	Professional		$187.15	$202.18	$333.85