Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.06 / $203.06 / $1,065.84	Facility		$203.06	$203.06	$1,065.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.19 / $227.42 / $850.00	Professional		$200.19	$227.42	$850.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $295.52 / $295.52	Professional		$240.12	$295.52	$295.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.19 / $560.44 / $1,172.61	Facility		$154.19	$560.44	$1,172.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $221.34 / $352.00	Professional		$184.64	$221.34	$352.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $437.34 / $780.97	Facility		$97.00	$437.34	$780.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $490.14 / $1,141.70	Professional		$100.00	$490.14	$1,141.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $293.45	Facility		$211.27	$211.27	$293.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $225.22	Professional		$154.22	$154.22	$225.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $227.19 / $272.63 / $406.35	Professional		$227.19	$272.63	$406.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $258.58 / $572.59	Professional		$221.65	$258.58	$572.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $635.86 / $1,762.49 / $1,762.49	Facility		$635.86	$1,762.49	$1,762.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.35 / $1,905.35 / $2,770.58	Professional		$1,905.35	$1,905.35	$2,770.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,142.64 / $1,142.64 / $1,142.64	Professional		$1,142.64	$1,142.64	$1,142.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $326.58 / $380.51	Facility		$108.90	$326.58	$380.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $211.27 / $351.61	Professional		$154.22	$211.27	$351.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $697.25 / $697.25 / $697.25	Professional		$697.25	$697.25	$697.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $227.19 / $295.52 / $332.47	Professional		$227.19	$295.52	$332.47
United Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $168.95 / $389.45	Professional		$153.16	$168.95	$389.45