Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $1,158.81	Facility		$180.92	$180.92	$1,158.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $180.92 / $1,158.81	Professional		$149.09	$180.92	$1,158.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.35 / $264.35 / $301.22	Professional		$264.35	$264.35	$301.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $565.98 / $1,274.89	Facility		$137.38	$565.98	$1,274.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $183.18 / $280.13	Professional		$146.94	$183.18	$280.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $475.49 / $849.09	Facility		$97.00	$475.49	$849.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $532.90 / $1,241.27	Professional		$100.00	$532.90	$1,241.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.73 / $188.22 / $214.69	Facility		$187.73	$188.22	$214.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $193.87	Professional		$137.40	$137.40	$193.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $228.08 / $441.79	Professional		$190.07	$228.08	$441.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.98 / $281.14 / $622.53	Professional		$240.98	$281.14	$622.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $611.48 / $1,633.27 / $1,907.74	Facility		$611.48	$1,633.27	$1,907.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,249.42 / $2,303.42 / $3,012.23	Professional		$2,249.42	$2,303.42	$3,012.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $722.56 / $722.56 / $722.56	Professional		$722.56	$722.56	$722.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $347.10 / $414.60	Facility		$97.02	$347.10	$414.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $341.39	Professional		$137.40	$188.22	$341.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $758.06 / $758.06 / $758.06	Professional		$758.06	$758.06	$758.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $321.30 / $321.30	Professional		$190.07	$321.30	$321.30
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $150.28 / $382.14	Professional		$136.44	$150.28	$382.14