Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $831.76	Facility		$114.82	$114.82	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $478.63	Professional		$87.10	$123.03	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $131.83	Professional		$114.82	$117.49	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $112.20 / $457.09	Facility		$87.10	$112.20	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $257.04	Professional		$120.23	$123.03	$257.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $338.84 / $457.09	Facility		$97.72	$338.84	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $616.60	Professional		$186.21	$363.08	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $138.04	Facility		$89.13	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $138.04	Professional		$100.00	$100.00	$138.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $234.42	Professional		$72.44	$91.20	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $323.59	Professional		$123.03	$181.97	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,445.44	Professional		$1,258.93	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $190.55 / $263.03	Facility		$66.07	$190.55	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $199.53	Professional		$100.00	$100.00	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $177.83	Professional		$72.44	$109.65	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $95.50 / $263.03	Facility		$15.85	$95.50	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $194.98	Professional		$89.13	$97.72	$194.98