Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.08 / $261.08 / $1,254.20	Facility		$261.08	$261.08	$1,254.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $261.08 / $1,254.20	Professional		$206.88	$261.08	$1,254.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $347.76 / $347.76	Professional		$304.29	$347.76	$347.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.26 / $666.40 / $1,379.87	Facility		$198.26	$666.40	$1,379.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $264.67 / $404.27	Professional		$212.00	$264.67	$404.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $514.65 / $919.02	Facility		$97.00	$514.65	$919.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $576.77 / $1,343.51	Professional		$100.00	$576.77	$1,343.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.32 / $281.20 / $281.20	Facility		$203.32	$281.20	$281.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $299.77	Professional		$205.28	$205.28	$299.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $193.43 / $478.17	Professional		$161.19	$193.43	$478.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $304.29 / $673.79	Professional		$260.82	$304.29	$673.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $882.44 / $2,318.40 / $2,318.40	Facility		$882.44	$2,318.40	$2,318.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,886.41 / $2,886.41 / $3,566.63	Professional		$2,886.41	$2,886.41	$3,566.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,740.49 / $1,740.49 / $1,740.49	Professional		$1,740.49	$1,740.49	$1,740.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $384.32 / $456.44	Facility		$140.00	$384.32	$456.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $281.20 / $413.75	Professional		$205.28	$281.20	$413.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $820.46 / $820.46 / $820.46	Professional		$820.46	$820.46	$820.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $274.02 / $347.76	Professional		$161.19	$274.02	$347.76
United Facility/Professional Professional Modifier Low / Median / High Price $204.13 / $216.86 / $437.84	Professional		$204.13	$216.86	$437.84