Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $1,230.27	Facility		$158.49	$158.49	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $1,096.48	Professional		$125.89	$158.49	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $660.69	Facility		$120.23	$154.88	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $181.97 / $363.08	Professional		$177.83	$181.97	$363.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $489.78 / $660.69	Facility		$100.00	$489.78	$660.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $912.01	Professional		$275.42	$537.03	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $165.96	Facility		$131.83	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $165.96	Professional		$120.23	$120.23	$165.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $346.74	Professional		$81.28	$100.00	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $467.74	Professional		$173.78	$263.03	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,187.76	Professional		$1,778.28	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $269.15 / $380.19	Facility		$91.20	$269.15	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $338.84	Professional		$120.23	$120.23	$338.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $263.03	Professional		$81.28	$120.23	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $173.78 / $363.08	Facility		$21.88	$173.78	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $288.40	Professional		$125.89	$158.49	$288.40