Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.84 / $277.08 / $1,394.77	Facility		$248.84	$277.08	$1,394.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.93 / $277.08 / $406.27	Professional		$170.93	$277.08	$406.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.85 / $242.67 / $302.31	Professional		$241.85	$242.67	$302.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.77 / $334.58 / $578.98	Facility		$218.77	$334.58	$578.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.56 / $283.76 / $306.45	Professional		$232.56	$283.76	$306.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $591.39 / $1,056.05	Facility		$97.00	$591.39	$1,056.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $397.35 / $1,221.93	Professional		$100.00	$397.35	$1,221.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $384.02	Facility		$301.51	$301.51	$384.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $321.43	Professional		$220.10	$220.10	$321.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $302.67 / $363.20	Professional		$123.26	$302.67	$363.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $278.02 / $615.61	Professional		$95.87	$278.02	$615.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $535.82 / $1,352.24 / $1,352.24	Facility		$535.82	$1,352.24	$1,352.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.85 / $2,066.44 / $2,066.44	Professional		$2,058.85	$2,066.44	$2,066.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $712.43 / $712.43 / $712.43	Professional		$712.43	$712.43	$712.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $136.96 / $301.51	Facility		$99.73	$136.96	$301.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.55 / $220.10 / $301.51	Professional		$205.55	$220.10	$301.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.42 / $912.42 / $912.42	Professional		$912.42	$912.42	$912.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $302.67 / $393.47	Professional		$109.57	$302.67	$393.47
United Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $220.78 / $435.87	Professional		$190.50	$220.78	$435.87