Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.31 / $381.39 / $448.69	Facility		$321.31	$381.39	$448.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $356.81 / $475.75	Professional		$256.45	$356.81	$475.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.75 / $385.75 / $385.75	Professional		$385.75	$385.75	$385.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.34 / $382.17 / $431.24	Facility		$329.34	$382.17	$431.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.34 / $479.76 / $876.70	Professional		$329.34	$479.76	$876.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $210.95 / $299.01 / $500.79	Facility		$210.95	$299.01	$500.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $299.89 / $428.41 / $881.84	Professional		$299.89	$428.41	$881.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $355.35 / $497.57 / $644.15	Professional		$355.35	$497.57	$644.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.48 / $538.15 / $860.84	Professional		$406.48	$538.15	$860.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $766.63 / $2,056.56 / $2,056.56	Facility		$766.63	$2,056.56	$2,056.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,389.10 / $2,678.63 / $3,839.63	Professional		$2,389.10	$2,678.63	$3,839.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $413.23 / $424.60 / $424.60	Professional		$413.23	$424.60	$424.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $402.90 / $534.98 / $713.18	Facility		$402.90	$534.98	$713.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $1,010.81	Professional		$418.11	$418.11	$1,010.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $424.60 / $953.37 / $1,326.04	Professional		$424.60	$953.37	$1,326.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $365.43 / $502.47 / $596.41	Professional		$365.43	$502.47	$596.41
United Facility/Professional Professional Modifier Low / Median / High Price $320.60 / $430.89 / $987.48	Professional		$320.60	$430.89	$987.48