Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.06 / $224.06 / $1,435.16	Facility		$224.06	$224.06	$1,435.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $224.06 / $1,389.08	Professional		$185.90	$224.06	$1,389.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.24 / $338.24 / $338.24	Professional		$338.24	$338.24	$338.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $700.95 / $1,578.93	Facility		$170.15	$700.95	$1,578.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $226.86 / $437.21	Professional		$222.79	$226.86	$437.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $588.90 / $1,051.59	Facility		$97.00	$588.90	$1,051.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $659.99 / $1,537.33	Professional		$100.00	$659.99	$1,537.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.49 / $291.02 / $291.02	Facility		$232.49	$291.02	$291.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $212.45 / $310.26	Professional		$212.45	$212.45	$310.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $319.07 / $547.15	Professional		$265.89	$319.07	$547.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.45 / $348.19 / $756.06	Professional		$298.45	$348.19	$756.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.34 / $2,011.56 / $2,362.69	Facility		$954.34	$2,011.56	$2,362.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,530.79 / $3,615.53 / $3,615.53	Professional		$3,530.79	$3,615.53	$3,615.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $821.18 / $821.18 / $821.18	Professional		$821.18	$821.18	$821.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $400.58 / $504.64	Facility		$120.15	$400.58	$504.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $364.32	Professional		$212.45	$291.02	$364.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $938.84 / $938.84 / $938.84	Professional		$938.84	$938.84	$938.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $397.93 / $398.84	Professional		$265.89	$397.93	$398.84
United Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $168.99 / $184.46	Facility		$30.74	$168.99	$184.46
United Facility/Professional Professional Modifier Low / Median / High Price $168.99 / $186.42 / $472.57	Professional		$168.99	$186.42	$472.57