Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.27 / $213.26 / $409.10	Professional		$123.27	$213.26	$409.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $302.14 / $302.14	Professional		$302.14	$302.14	$302.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $31.20 / $656.33	Facility		$28.16	$31.20	$656.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $296.27 / $486.52	Professional		$210.30	$296.27	$486.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $476.46 / $476.46 / $476.46	Facility		$476.46	$476.46	$476.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $319.70	Professional		$100.00	$100.00	$319.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $330.59	Facility		$267.62	$267.62	$330.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $445.88	Professional		$227.48	$267.62	$445.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $302.14 / $362.57	Professional		$302.14	$302.14	$362.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $275.49 / $531.29	Professional		$236.13	$275.49	$531.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $579.26 / $1,807.28 / $1,827.09	Facility		$579.26	$1,807.28	$1,827.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $292.50 / $402.45	Facility		$267.62	$292.50	$402.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $302.31	Professional		$227.48	$267.62	$302.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $723.49 / $723.49 / $723.49	Professional		$723.49	$723.49	$723.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $302.14 / $307.72	Professional		$302.14	$302.14	$307.72
United Facility/Professional Professional Modifier Low / Median / High Price $160.90 / $191.23 / $281.18	Professional		$160.90	$191.23	$281.18