Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.33 / $337.47 / $397.02	Facility		$285.33	$337.47	$397.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.91 / $323.98 / $423.15	Professional		$256.91	$323.98	$423.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $350.79 / $350.79 / $350.79	Professional		$350.79	$350.79	$350.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.10 / $372.60 / $420.45	Facility		$321.10	$372.60	$420.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.56 / $440.00 / $809.18	Professional		$318.56	$440.00	$809.18
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 $266.31 / $380.44 / $792.91	Professional		$266.31	$380.44	$792.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $314.60 / $464.96 / $591.77	Professional		$314.60	$464.96	$591.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.56 / $488.79 / $773.17	Professional		$378.56	$488.79	$773.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $722.96 / $1,927.28 / $1,927.28	Facility		$722.96	$1,927.28	$1,927.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,269.04 / $2,460.96 / $3,458.78	Professional		$2,269.04	$2,460.96	$3,458.78
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 $368.47 / $379.52 / $379.52	Professional		$368.47	$379.52	$379.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.54 / $488.79 / $650.14	Facility		$375.54	$488.79	$650.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $899.40	Professional		$378.23	$378.23	$899.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $379.52 / $929.53 / $1,178.38	Professional		$379.52	$929.53	$1,178.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $341.49 / $469.55 / $531.84	Professional		$341.49	$469.55	$531.84
United Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $384.00 / $909.55	Professional		$285.88	$384.00	$909.55