Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.87 / $185.87 / $1,190.56	Facility		$185.87	$185.87	$1,190.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $185.87 / $471.30	Professional		$162.81	$185.87	$471.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.69 / $207.35 / $330.11	Professional		$185.69	$207.35	$330.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.15 / $581.49 / $1,309.83	Facility		$141.15	$581.49	$1,309.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $186.65 / $312.04	Professional		$163.68	$186.65	$312.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $488.52 / $872.36	Facility		$97.00	$488.52	$872.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $547.49 / $1,275.32	Professional		$100.00	$547.49	$1,275.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.87 / $216.42 / $244.45	Facility		$192.87	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $244.45	Professional		$157.99	$157.99	$244.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $219.52 / $453.90	Professional		$182.93	$219.52	$453.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.58 / $288.85 / $638.07	Professional		$247.58	$288.85	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $618.96 / $1,611.98 / $1,960.04	Facility		$618.96	$1,611.98	$1,960.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.82 / $2,216.79 / $2,321.10	Professional		$2,164.82	$2,216.79	$2,321.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $634.43 / $634.43 / $634.43	Professional		$634.43	$634.43	$634.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $330.86 / $418.22	Facility		$99.68	$330.86	$418.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $319.37	Professional		$157.99	$216.42	$319.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $778.83 / $778.83 / $778.83	Professional		$778.83	$778.83	$778.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $310.98 / $330.11	Professional		$182.93	$310.98	$330.11
United Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $140.19 / $153.02	Facility		$25.50	$140.19	$153.02
United Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $154.40 / $401.60	Professional		$140.19	$154.40	$401.60