Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $160.07 / $1,025.25	Facility		$99.38	$160.07	$1,025.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $160.07 / $320.14	Professional		$138.78	$160.07	$320.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $213.20 / $213.20	Professional		$213.20	$213.20	$213.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.55 / $500.75 / $1,127.96	Facility		$121.55	$500.75	$1,127.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $148.00 / $282.27	Professional		$125.00	$148.00	$282.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $420.70 / $751.24	Facility		$97.00	$420.70	$751.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $471.48 / $1,098.23	Professional		$100.00	$471.48	$1,098.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.09 / $175.81 / $191.33	Facility		$166.09	$175.81	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $191.33	Professional		$128.34	$128.34	$191.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $158.91 / $390.87	Professional		$132.43	$158.91	$390.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $248.74 / $550.78	Professional		$213.20	$248.74	$550.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $515.24 / $1,417.95 / $1,687.87	Facility		$515.24	$1,417.95	$1,687.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.79 / $1,897.25 / $1,998.83	Professional		$1,852.79	$1,897.25	$1,998.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,067.06 / $1,067.06 / $1,067.06	Professional		$1,067.06	$1,067.06	$1,067.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $302.04 / $358.12	Facility		$85.84	$302.04	$358.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $302.04	Professional		$128.34	$175.81	$302.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $670.69 / $670.69 / $670.69	Professional		$670.69	$670.69	$670.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $225.13 / $284.27	Professional		$132.43	$225.13	$284.27
United Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $133.18 / $370.43	Professional		$122.93	$133.18	$370.43