Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $1,100.55	Facility		$229.09	$229.09	$1,100.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $229.09 / $1,100.55	Professional		$181.53	$229.09	$1,100.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $305.14 / $305.14	Professional		$267.00	$305.14	$305.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.96 / $584.73 / $1,210.77	Facility		$173.96	$584.73	$1,210.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $231.73 / $354.73	Professional		$186.08	$231.73	$354.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $451.57 / $806.38	Facility		$97.00	$451.57	$806.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $506.09 / $1,178.86	Professional		$100.00	$506.09	$1,178.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.41 / $248.05 / $248.05	Facility		$178.41	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $264.43	Professional		$181.08	$181.08	$264.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $118.27 / $419.57	Professional		$98.56	$118.27	$419.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.86 / $267.00 / $591.22	Professional		$228.86	$267.00	$591.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $762.86 / $2,003.74 / $2,003.74	Facility		$762.86	$2,003.74	$2,003.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,517.42 / $2,517.42 / $3,814.28	Professional		$2,517.42	$2,517.42	$3,814.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,527.20 / $1,527.20 / $1,527.20	Professional		$1,527.20	$1,527.20	$1,527.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $337.21 / $400.50	Facility		$122.85	$337.21	$400.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $363.05	Professional		$181.08	$248.05	$363.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $719.95 / $719.95 / $719.95	Professional		$719.95	$719.95	$719.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $167.55 / $305.14	Professional		$98.56	$167.55	$305.14
United Facility/Professional Professional Modifier Low / Median / High Price $179.12 / $193.63 / $369.08	Professional		$179.12	$193.63	$369.08