Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.35 / $285.30 / $1,050.06	Facility		$187.35	$285.30	$1,050.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $187.35 / $711.53	Professional		$160.33	$187.35	$711.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $291.16 / $291.16	Professional		$272.95	$291.16	$291.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.28 / $525.33 / $1,155.29	Facility		$142.28	$525.33	$1,155.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $189.42 / $290.10	Professional		$152.16	$189.42	$290.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $430.88 / $769.42	Facility		$97.00	$430.88	$769.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $482.90 / $1,124.82	Professional		$100.00	$482.90	$1,124.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.22 / $194.92 / $194.92	Facility		$170.22	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $207.79	Professional		$142.29	$142.29	$207.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $201.60 / $400.35	Professional		$168.00	$201.60	$400.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.37 / $254.77 / $564.12	Professional		$218.37	$254.77	$564.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $623.88 / $1,728.76 / $1,728.76	Facility		$623.88	$1,728.76	$1,728.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.80 / $2,058.80 / $2,427.15	Professional		$2,058.80	$2,058.80	$2,427.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $639.47 / $639.47 / $639.47	Professional		$639.47	$639.47	$639.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $311.94 / $368.86	Facility		$100.47	$311.94	$368.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $194.92 / $364.20	Professional		$142.29	$194.92	$364.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $686.92 / $686.92 / $686.92	Professional		$686.92	$686.92	$686.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $285.60 / $291.16	Professional		$168.00	$285.60	$291.16
United Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $155.62 / $345.73	Professional		$141.30	$155.62	$345.73