Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $794.33 / $1,584.89	Professional		$331.13	$794.33	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $977.24	Professional		$323.59	$501.19	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $2,454.71	Facility		$416.87	$512.86	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $870.96	Professional		$398.11	$501.19	$870.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,096.48	Professional		$380.19	$549.54	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $977.24	Professional		$371.54	$501.19	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $371.54 / $489.78	Professional		$144.54	$371.54	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $933.25	Professional		$309.03	$371.54	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $3,548.13 / $3,548.13	Professional		$489.78	$3,548.13	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $446.68 / $758.58	Facility		$331.13	$446.68	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $1,000.00	Professional		$371.54	$512.86	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $416.87	Professional		$144.54	$302.00	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $776.25	Professional		$309.03	$416.87	$776.25