Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $602.56	Facility		$158.49	$263.03	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $660.69	Professional		$138.04	$181.97	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $302.00	Professional		$218.78	$229.09	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $660.69	Facility		$120.23	$154.88	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $363.08	Professional		$158.49	$165.96	$363.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $501.19 / $676.08	Facility		$100.00	$501.19	$676.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $933.25	Professional		$281.84	$549.54	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $173.78	Professional		$128.82	$128.82	$173.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $354.81	Professional		$154.88	$194.98	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $478.63	Professional		$177.83	$269.15	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $2,187.76	Professional		$1,479.11	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $295.12 / $371.54	Facility		$85.11	$295.12	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $281.84	Professional		$128.82	$128.82	$281.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $269.15	Professional		$154.88	$234.42	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $131.83 / $363.08	Facility		$21.88	$131.83	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $295.12	Professional		$123.03	$144.54	$295.12