Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.08 / $262.08 / $1,439.88	Facility		$262.08	$262.08	$1,439.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $262.08 / $1,439.88	Professional		$219.40	$262.08	$1,439.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $361.48 / $399.24	Professional		$361.48	$361.48	$399.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.06 / $723.48 / $1,584.13	Facility		$199.06	$723.48	$1,584.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.12 / $264.64 / $448.23	Professional		$235.12	$264.64	$448.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $590.84 / $1,055.07	Facility		$98.20	$590.84	$1,055.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $662.15 / $1,542.38	Professional		$100.00	$662.15	$1,542.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.42 / $311.77 / $311.77	Facility		$233.42	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $332.37	Professional		$227.60	$227.60	$332.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $179.77 / $548.96	Professional		$149.81	$179.77	$548.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $349.34 / $758.56	Professional		$299.43	$349.34	$758.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $978.40 / $2,370.48 / $2,370.48	Facility		$978.40	$2,370.48	$2,370.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,879.96 / $2,879.96 / $3,781.20	Professional		$2,879.96	$2,879.96	$3,781.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,192.71 / $1,192.71 / $1,192.71	Professional		$1,192.71	$1,192.71	$1,192.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $433.50 / $524.00	Facility		$140.54	$433.50	$524.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $430.28	Professional		$227.60	$311.77	$430.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $941.93 / $941.93 / $941.93	Professional		$941.93	$941.93	$941.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $254.68 / $399.24	Professional		$149.81	$254.68	$399.24
United Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $241.20 / $503.50	Professional		$204.91	$241.20	$503.50