Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.83 / $308.83 / $996.44	Facility		$308.83	$308.83	$996.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.95 / $389.23 / $1,362.00	Professional		$284.95	$389.23	$1,362.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $324.89 / $755.43 / $755.43	Professional		$324.89	$755.43	$755.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.21 / $430.21 / $487.19	Facility		$430.21	$430.21	$487.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.62 / $449.92 / $770.53	Professional		$333.62	$449.92	$770.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $258.55 / $627.67	Professional		$174.85	$258.55	$627.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $386.44	Facility		$386.44	$386.44	$386.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.29 / $440.43 / $954.68	Professional		$320.29	$440.43	$954.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $369.07 / $498.24	Professional		$265.48	$369.07	$498.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.77 / $413.04 / $842.00	Professional		$309.77	$413.04	$842.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,515.34 / $1,634.95 / $4,869.80	Facility		$1,515.34	$1,634.95	$4,869.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,713.05 / $5,713.05 / $5,713.05	Professional		$5,713.05	$5,713.05	$5,713.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $485.04	Professional		$32.34	$32.34	$485.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.08 / $406.87 / $579.89	Facility		$301.08	$406.87	$579.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.14 / $488.10 / $909.87	Professional		$337.14	$488.10	$909.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $907.23 / $907.23 / $907.23	Professional		$907.23	$907.23	$907.23
United Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $361.62 / $809.05	Professional		$269.95	$361.62	$809.05