Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.05 / $177.05 / $1,134.03	Facility		$177.05	$177.05	$1,134.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $177.05 / $1,134.03	Professional		$136.80	$177.05	$1,134.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $294.77 / $294.77	Professional		$294.77	$294.77	$294.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $553.87 / $1,247.63	Facility		$134.50	$553.87	$1,247.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $176.99 / $274.14	Professional		$143.81	$176.99	$274.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $465.33 / $830.94	Facility		$97.00	$465.33	$830.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $521.51 / $1,214.75	Professional		$100.00	$521.51	$1,214.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $190.69 / $210.10	Facility		$183.83	$190.69	$210.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $203.28	Professional		$139.19	$139.19	$203.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $167.53 / $432.34	Professional		$139.61	$167.53	$432.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.82 / $275.13 / $609.21	Professional		$235.82	$275.13	$609.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $598.40 / $1,539.25 / $1,866.94	Facility		$598.40	$1,539.25	$1,866.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,957.34 / $1,966.23 / $2,947.80	Professional		$1,957.34	$1,966.23	$2,947.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $885.21 / $885.21 / $885.21	Professional		$885.21	$885.21	$885.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $328.69 / $393.04	Facility		$94.94	$328.69	$393.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $287.87	Professional		$139.19	$190.69	$287.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $741.85 / $741.85 / $741.85	Professional		$741.85	$741.85	$741.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $237.34 / $314.43	Professional		$139.61	$237.34	$314.43
United Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $147.07 / $382.53	Professional		$133.54	$147.07	$382.53