Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.42 / $349.42 / $2,238.12	Facility		$349.42	$349.42	$2,238.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $349.42 / $2,238.12	Professional		$264.89	$349.42	$2,238.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $402.61 / $402.61 / $402.61	Professional		$402.61	$402.61	$402.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $1,093.13 / $2,462.34	Facility		$265.33	$1,093.13	$2,462.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.59 / $353.78 / $691.57	Professional		$352.59	$353.78	$691.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $918.36 / $1,639.94	Facility		$97.00	$918.36	$1,639.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,029.23 / $2,397.44	Professional		$100.00	$1,029.23	$2,397.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.81 / $378.92 / $613.97	Facility		$362.81	$378.92	$613.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $276.61 / $613.97	Professional		$276.61	$276.61	$613.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $349.54 / $419.45 / $853.28	Professional		$349.54	$419.45	$853.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.43 / $543.00 / $1,179.08	Professional		$465.43	$543.00	$1,179.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.06 / $3,684.62 / $3,684.62	Facility		$1,308.06	$3,684.62	$3,684.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,135.50 / $4,234.77 / $4,419.83	Professional		$4,135.50	$4,234.77	$4,419.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,375.57 / $1,375.57 / $1,375.57	Professional		$1,375.57	$1,375.57	$1,375.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.38 / $670.38 / $786.19	Facility		$187.38	$670.38	$786.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $378.92 / $709.03	Professional		$276.61	$378.92	$709.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,464.12 / $1,464.12 / $1,464.12	Professional		$1,464.12	$1,464.12	$1,464.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.54 / $594.22 / $620.57	Professional		$349.54	$594.22	$620.57
United Facility/Professional Professional Modifier Low / Median / High Price $268.35 / $290.24 / $754.96	Professional		$268.35	$290.24	$754.96