Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.90 / $227.90 / $1,459.69	Facility		$227.90	$227.90	$1,459.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.61 / $227.90 / $485.00	Professional		$197.61	$227.90	$485.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $266.94 / $338.97	Professional		$227.66	$266.94	$338.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.06 / $712.94 / $1,605.94	Facility		$173.06	$712.94	$1,605.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $230.17 / $373.71	Professional		$185.11	$230.17	$373.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $598.97 / $1,069.58	Facility		$97.00	$598.97	$1,069.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $671.28 / $1,563.63	Professional		$100.00	$671.28	$1,563.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $270.44	Facility		$225.12	$237.10	$270.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $252.76	Professional		$173.08	$173.08	$252.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $202.67 / $556.51	Professional		$168.89	$202.67	$556.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.55 / $354.14 / $769.00	Professional		$303.55	$354.14	$769.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $733.58 / $2,002.53 / $2,403.12	Facility		$733.58	$2,002.53	$2,403.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,428.42 / $2,428.42 / $3,044.40	Professional		$2,428.42	$2,428.42	$3,044.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $816.76 / $816.76 / $816.76	Professional		$816.76	$816.76	$816.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $405.66 / $505.92	Facility		$122.21	$405.66	$505.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $398.78	Professional		$173.08	$237.10	$398.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $954.89 / $954.89 / $954.89	Professional		$954.89	$954.89	$954.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $287.11 / $404.74	Professional		$168.89	$287.11	$404.74
United Facility/Professional Professional Modifier Low / Median / High Price $171.89 / $189.30 / $481.36	Professional		$171.89	$189.30	$481.36