Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.95 / $353.72 / $1,675.80	Facility		$222.95	$353.72	$1,675.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.86 / $261.63 / $1,309.00	Professional		$226.86	$261.63	$1,309.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.76 / $416.76 / $416.76	Professional		$416.76	$416.76	$416.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.68 / $818.48 / $1,843.67	Facility		$198.68	$818.48	$1,843.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $270.51 / $516.78	Professional		$264.89	$270.51	$516.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $687.63 / $1,227.90	Facility		$97.00	$687.63	$1,227.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $770.63 / $1,795.08	Professional		$100.00	$770.63	$1,795.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.47 / $293.31 / $310.45	Facility		$271.47	$293.31	$310.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $412.72	Professional		$214.12	$214.12	$412.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $372.55 / $638.89	Professional		$310.45	$372.55	$638.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.49 / $406.57 / $882.83	Professional		$348.49	$406.57	$882.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,128.03 / $2,758.85 / $2,758.85	Facility		$1,128.03	$2,758.85	$2,758.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,787.89 / $2,787.89 / $3,376.05	Professional		$2,787.89	$2,787.89	$3,376.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $893.00	Professional		$893.00	$893.00	$893.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $465.70 / $580.80	Facility		$140.30	$465.70	$580.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $326.00 / $447.27	Professional		$214.12	$326.00	$447.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,096.27 / $1,096.27 / $1,096.27	Professional		$1,096.27	$1,096.27	$1,096.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $464.65 / $465.69	Professional		$310.45	$464.65	$465.69
United Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $580.80 / $580.80	Facility		$493.69	$580.80	$580.80
United Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $221.13 / $586.00	Professional		$200.93	$221.13	$586.00