Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $165.31 / $165.31	Facility		$161.94	$165.31	$165.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $182.10 / $715.00	Professional		$149.24	$182.10	$715.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $179.16 / $179.16	Professional		$179.16	$179.16	$179.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.67 / $393.67 / $445.81	Facility		$393.67	$393.67	$445.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $378.28 / $593.29	Professional		$181.47	$378.28	$593.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $218.19 / $518.29	Professional		$146.63	$218.19	$518.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $208.09 / $280.92	Professional		$162.69	$208.09	$280.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.56 / $238.65 / $375.18	Professional		$174.56	$238.65	$375.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $321.24 / $352.98 / $952.86	Facility		$321.24	$352.98	$952.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.54 / $1,182.54 / $1,536.45	Professional		$1,182.54	$1,182.54	$1,536.45
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 $175.47 / $228.35 / $317.25	Facility		$175.47	$228.35	$317.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $479.68	Professional		$167.84	$167.84	$479.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $622.19 / $622.19 / $622.19	Professional		$622.19	$622.19	$622.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $231.13 / $231.13	Professional		$168.10	$231.13	$231.13
United Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $203.33 / $452.60	Professional		$151.47	$203.33	$452.60