Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $773.80 / $1,907.25	Facility		$391.07	$773.80	$1,907.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $394.98 / $658.89	Professional		$391.06	$394.98	$658.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.70 / $465.70 / $465.70	Professional		$465.70	$465.70	$465.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.61 / $624.66 / $1,400.27	Facility		$414.61	$624.66	$1,400.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $397.52 / $826.84	Professional		$383.07	$397.52	$826.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $442.72	Facility		$77.09	$100.00	$442.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.45 / $398.45 / $884.56	Professional		$398.45	$398.45	$884.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $368.93 / $391.07	Facility		$368.93	$368.93	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $442.72	Professional		$391.07	$391.07	$442.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $362.75 / $363.83 / $489.71	Professional		$362.75	$363.83	$489.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $469.28 / $860.35	Professional		$351.96	$469.28	$860.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $483.97 / $1,819.15 / $1,955.35	Facility		$483.97	$1,819.15	$1,955.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.59 / $1,601.59 / $1,601.59	Professional		$1,601.59	$1,601.59	$1,601.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $743.63 / $743.63	Professional		$60.00	$743.63	$743.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $402.80 / $665.92	Facility		$391.07	$402.80	$665.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $453.53	Professional		$391.07	$391.07	$453.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $567.69 / $567.69 / $567.69	Professional		$567.69	$567.69	$567.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $312.86 / $391.07 / $586.61	Professional		$312.86	$391.07	$586.61
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $673.29	Professional		$391.07	$391.07	$673.29