Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.71 / $250.71 / $1,543.49	Facility		$250.71	$250.71	$1,543.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $250.71 / $518.44	Professional		$217.40	$250.71	$518.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.53 / $278.24 / $326.14	Professional		$252.53	$278.24	$326.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.39 / $753.87 / $1,698.12	Facility		$190.39	$753.87	$1,698.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $253.85 / $505.53	Professional		$253.85	$253.85	$505.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $633.34 / $1,130.97	Facility		$97.00	$633.34	$1,130.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $709.80 / $1,653.37	Professional		$100.00	$709.80	$1,653.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.21 / $315.73 / $350.29	Facility		$250.21	$315.73	$350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $350.29	Professional		$230.48	$230.48	$350.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $213.04 / $588.46	Professional		$177.53	$213.04	$588.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.98 / $374.47 / $813.14	Professional		$320.98	$374.47	$813.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,103.47 / $2,541.06 / $2,541.06	Facility		$1,103.47	$2,541.06	$2,541.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,567.81 / $2,567.81 / $3,426.83	Professional		$2,567.81	$2,567.81	$3,426.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $950.64 / $950.64 / $950.64	Professional		$950.64	$950.64	$950.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $454.72 / $534.96	Facility		$134.44	$454.72	$534.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $454.72	Professional		$230.48	$315.73	$454.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,009.71 / $1,009.71 / $1,009.71	Professional		$1,009.71	$1,009.71	$1,009.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $301.80 / $427.97	Professional		$177.53	$301.80	$427.97
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $209.80 / $483.06	Professional		$192.55	$209.80	$483.06