Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $1,479.11	Professional		$123.03	$218.78	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $794.33	Professional		$151.36	$295.12	$794.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $724.44	Facility		$478.63	$478.63	$724.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $1,445.44	Professional		$234.42	$234.42	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Facility		$269.15	$269.15	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $446.68	Professional		$229.09	$269.15	$446.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Professional		$302.00	$302.00	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $478.63	Professional		$239.88	$281.84	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $1,819.70	Facility		$602.56	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $295.12 / $407.38	Facility		$269.15	$295.12	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $302.00	Professional		$229.09	$269.15	$302.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Professional		$302.00	$302.00	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $123.03 / $245.47	Facility		$13.49	$123.03	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $389.05	Professional		$147.91	$190.55	$389.05