Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $195.32 / $1,050.06	Facility		$195.32	$195.32	$1,050.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $214.85 / $716.04	Professional		$195.31	$214.85	$716.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $236.57 / $291.16	Professional		$198.86	$236.57	$291.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.62 / $581.34 / $1,275.24	Facility		$224.62	$581.34	$1,275.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $216.09 / $290.10	Professional		$146.49	$216.09	$290.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $445.24 / $795.08	Facility		$98.20	$445.24	$795.08
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 $214.16 / $214.16 / $312.25	Facility		$214.16	$214.16	$312.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $291.73	Professional		$156.34	$156.34	$291.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $227.88 / $273.45 / $400.35	Professional		$227.88	$273.45	$400.35
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $217.77 / $217.77 / $218.37	Professional		$217.77	$217.77	$218.37
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 $633.24 / $1,620.96 / $1,728.76	Facility		$633.24	$1,620.96	$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 $936.74 / $936.74 / $936.74	Professional		$936.74	$936.74	$936.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.77 / $244.15 / $363.95	Facility		$144.77	$244.15	$363.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $364.20	Professional		$156.34	$214.16	$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 $227.88 / $291.16 / $327.56	Professional		$227.88	$291.16	$327.56
United Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $154.24 / $158.69	Facility		$25.71	$154.24	$158.69
United Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $158.35 / $367.19	Professional		$146.49	$158.35	$367.19