Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.21 / $577.16 / $5,874.23	Facility		$178.21	$577.16	$5,874.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $529.53 / $2,124.60	Professional		$176.45	$529.53	$2,124.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $280.56 / $344.08	Professional		$186.50	$280.56	$344.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.86 / $281.83 / $691.40	Facility		$172.86	$281.83	$691.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $176.45 / $590.97	Professional		$155.41	$176.45	$590.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $100.00 / $542.03	Facility		$77.40	$100.00	$542.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $179.78 / $449.54	Professional		$179.78	$179.78	$449.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $166.46 / $176.45	Facility		$166.46	$166.46	$176.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $224.72	Professional		$176.45	$176.45	$224.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $180.79 / $244.07	Professional		$176.75	$180.79	$244.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $211.74 / $393.93	Professional		$158.81	$211.74	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $542.03 / $1,272.84 / $1,413.42	Facility		$542.03	$1,272.84	$1,413.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,475.46 / $2,475.46 / $2,475.46	Professional		$2,475.46	$2,475.46	$2,475.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $370.61 / $370.61	Professional		$60.00	$370.61	$370.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $221.82 / $542.52	Facility		$176.45	$221.82	$542.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $241.82	Professional		$176.45	$176.45	$241.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $399.52 / $399.52 / $399.52	Professional		$399.52	$399.52	$399.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $176.45 / $264.67	Professional		$141.16	$176.45	$264.67
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $356.06	Professional		$176.45	$176.45	$356.06