Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.65 / $115.65 / $695.70	Facility		$115.65	$115.65	$695.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $115.65 / $695.70	Professional		$99.71	$115.65	$695.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $144.41 / $144.41	Professional		$144.41	$144.41	$144.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.82 / $342.83 / $765.42	Facility		$87.82	$342.83	$765.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $117.63 / $220.11	Professional		$117.09	$117.63	$220.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $285.47 / $509.77	Facility		$97.00	$285.47	$509.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $319.94 / $745.22	Professional		$100.00	$319.94	$745.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.78 / $126.98 / $128.88	Facility		$112.78	$126.98	$128.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $274.50	Professional		$92.70	$92.70	$274.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $124.01 / $265.24	Professional		$103.34	$124.01	$265.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $168.79 / $373.75	Professional		$144.68	$168.79	$373.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $480.46 / $1,145.36 / $1,145.36	Facility		$480.46	$1,145.36	$1,145.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.30 / $1,232.30 / $1,925.48	Professional		$1,232.30	$1,232.30	$1,925.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $479.96 / $479.96 / $479.96	Professional		$479.96	$479.96	$479.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $207.69 / $244.39	Facility		$62.01	$207.69	$244.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $218.20	Professional		$92.70	$92.70	$218.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $455.11 / $455.11 / $455.11	Professional		$455.11	$455.11	$455.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $175.68 / $192.90	Professional		$103.34	$175.68	$192.90
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $115.76 / $233.31	Professional		$91.41	$115.76	$233.31