Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $242.22 / $1,510.35	Facility		$242.22	$242.22	$1,510.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $242.22 / $1,510.35	Professional		$176.21	$242.22	$1,510.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $418.78 / $418.78 / $418.78	Professional		$418.78	$418.78	$418.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.93 / $737.67 / $1,661.65	Facility		$183.93	$737.67	$1,661.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $321.33 / $447.10	Professional		$202.05	$321.33	$447.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $619.73 / $1,106.66	Facility		$97.00	$619.73	$1,106.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $694.56 / $1,617.87	Professional		$100.00	$694.56	$1,617.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.83 / $260.88 / $279.81	Facility		$244.83	$260.88	$279.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $278.11	Professional		$190.44	$190.44	$278.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $232.91 / $575.82	Professional		$194.09	$232.91	$575.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.08 / $366.43 / $795.67	Professional		$314.08	$366.43	$795.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $818.68 / $2,486.48 / $2,486.48	Facility		$818.68	$2,486.48	$2,486.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,677.85 / $2,677.85 / $3,024.68	Professional		$2,677.85	$2,677.85	$3,024.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,102.32 / $1,102.32 / $1,102.32	Professional		$1,102.32	$1,102.32	$1,102.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $454.69 / $537.72	Facility		$129.88	$454.69	$537.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $498.25	Professional		$190.44	$260.88	$498.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $988.04 / $988.04 / $988.04	Professional		$988.04	$988.04	$988.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $329.95 / $418.78	Professional		$194.09	$329.95	$418.78
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $242.46 / $523.47	Professional		$189.38	$242.46	$523.47