Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.18 / $247.18 / $1,583.22	Facility		$247.18	$247.18	$1,583.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.54 / $247.18 / $658.49	Professional		$212.54	$247.18	$658.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $258.44 / $343.47	Professional		$246.93	$258.44	$343.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.70 / $773.28 / $1,741.87	Facility		$187.70	$773.28	$1,741.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $246.56 / $400.59	Professional		$210.13	$246.56	$400.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $649.65 / $1,160.08	Facility		$97.00	$649.65	$1,160.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $728.07 / $1,695.95	Professional		$100.00	$728.07	$1,695.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.48 / $264.44 / $293.32	Facility		$256.48	$264.44	$293.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $281.91	Professional		$193.04	$193.04	$281.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $351.98 / $603.61	Professional		$293.32	$351.98	$603.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.24 / $384.12 / $834.08	Professional		$329.24	$384.12	$834.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $962.46 / $2,238.26 / $2,606.52	Facility		$962.46	$2,238.26	$2,606.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,677.85 / $3,766.14 / $4,115.55	Professional		$3,677.85	$3,766.14	$4,115.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $938.81 / $938.81 / $938.81	Professional		$938.81	$938.81	$938.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $457.96 / $556.71	Facility		$132.55	$457.96	$556.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $264.44 / $401.90	Professional		$193.04	$264.44	$401.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,035.71 / $1,035.71 / $1,035.71	Professional		$1,035.71	$1,035.71	$1,035.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $438.99 / $439.98	Professional		$293.32	$438.99	$439.98
United Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $205.32 / $521.28	Professional		$186.43	$205.32	$521.28