Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.19 / $756.79 / $890.34	Facility		$616.19	$756.79	$890.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $718.17 / $934.21	Professional		$31.37	$718.17	$934.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $781.61 / $781.61 / $781.61	Professional		$781.61	$781.61	$781.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $32.42 / $36.58	Facility		$27.94	$32.42	$36.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $805.29 / $1,675.90	Professional		$29.57	$805.29	$1,675.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,044.61 / $1,480.69 / $2,479.92	Facility		$1,044.61	$1,480.69	$2,479.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $100.00 / $1,423.46	Professional		$25.86	$100.00	$1,423.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Facility		$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.74 / $759.74 / $759.74	Professional		$759.74	$759.74	$759.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $60.86 / $1,568.86	Professional		$38.04	$60.86	$1,568.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $810.32 / $1,598.00	Professional		$34.53	$810.32	$1,598.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $177.48 / $177.48	Facility		$64.45	$177.48	$177.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $222.74 / $3,554.33 / $7,212.83	Professional		$222.74	$3,554.33	$7,212.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $788.41 / $1,410.18	Facility		$38.39	$788.41	$1,410.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $759.74 / $1,909.21	Professional		$80.18	$759.74	$1,909.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $80.16 / $2,525.34	Professional		$80.16	$80.16	$2,525.34
United Facility/Professional Professional Modifier Low / Median / High Price $589.40 / $799.90 / $1,901.50	Professional		$589.40	$799.90	$1,901.50