Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $1,659.59	Professional		$204.17	$288.40	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $1,348.96	Professional		$245.47	$363.08	$1,348.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $812.83	Facility		$776.25	$776.25	$812.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $1,621.81	Professional		$263.03	$426.58	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $512.86	Facility		$302.00	$302.00	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $524.81	Professional		$257.04	$302.00	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $562.34	Professional		$467.74	$467.74	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $707.95	Professional		$354.81	$416.87	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,137.96 / $2,137.96	Facility		$724.44	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $338.84 / $676.08	Facility		$208.93	$338.84	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $380.19	Professional		$257.04	$302.00	$380.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Professional		$354.81	$354.81	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $169.82 / $302.00	Facility		$19.95	$169.82	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $575.44	Professional		$223.87	$269.15	$575.44