Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.69 / $344.90 / $1,544.22	Facility		$315.69	$344.90	$1,544.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.86 / $344.89 / $535.20	Professional		$281.86	$344.89	$535.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $330.77 / $369.36	Professional		$321.12	$330.77	$369.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.13 / $820.46 / $1,698.89	Facility		$226.13	$820.46	$1,698.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $301.51 / $510.00	Professional		$301.51	$301.51	$510.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $663.94 / $1,185.60	Facility		$97.00	$663.94	$1,185.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $301.79 / $431.13 / $694.12	Professional		$301.79	$431.13	$694.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.31 / $375.73 / $383.66	Facility		$242.31	$375.73	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $400.55	Professional		$274.27	$274.27	$400.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $428.16 / $535.20 / $642.24	Professional		$428.16	$535.20	$642.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $374.64 / $813.50	Professional		$321.12	$374.64	$813.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $921.30 / $2,563.00 / $2,563.00	Facility		$921.30	$2,563.00	$2,563.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,760.81 / $2,760.81 / $4,014.00	Professional		$2,760.81	$2,760.81	$4,014.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,130.12 / $1,130.12 / $1,130.12	Professional		$1,130.12	$1,130.12	$1,130.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.79 / $535.20 / $561.96	Facility		$358.79	$535.20	$561.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $375.73 / $509.42	Professional		$274.27	$375.73	$509.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,010.19 / $1,010.19 / $1,010.19	Professional		$1,010.19	$1,010.19	$1,010.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $428.16 / $428.16 / $428.16	Professional		$428.16	$428.16	$428.16
United Facility/Professional Professional Modifier Low / Median / High Price $236.77 / $248.68 / $520.90	Professional		$236.77	$248.68	$520.90