Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.28 / $670.28 / $3,374.57	Facility		$670.28	$670.28	$3,374.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.04 / $670.27 / $898.17	Professional		$405.04	$670.27	$898.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $583.37 / $587.04 / $587.09	Professional		$583.37	$587.04	$587.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.20 / $809.36 / $1,400.58	Facility		$529.20	$809.36	$1,400.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.74 / $686.57 / $747.78	Professional		$562.74	$686.57	$747.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,430.89 / $2,555.16	Facility		$97.00	$1,430.89	$2,555.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $961.26 / $2,956.40	Professional		$100.00	$961.26	$2,956.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $929.15	Facility		$736.58	$736.58	$929.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $855.00	Professional		$537.70	$537.70	$855.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $298.18 / $732.33 / $878.80	Professional		$298.18	$732.33	$878.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.92 / $672.61 / $1,460.52	Professional		$231.92	$672.61	$1,460.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.16 / $3,271.09 / $3,271.09	Facility		$1,296.16	$3,271.09	$3,271.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,981.95 / $4,999.22 / $4,999.22	Professional		$4,981.95	$4,999.22	$4,999.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,723.47 / $1,723.47 / $1,723.47	Professional		$1,723.47	$1,723.47	$1,723.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $331.31 / $736.58	Facility		$241.25	$331.31	$736.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.99 / $537.70 / $736.58	Professional		$385.99	$537.70	$736.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,207.57 / $2,207.57 / $2,207.57	Professional		$2,207.57	$2,207.57	$2,207.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $265.05 / $732.33 / $952.03	Professional		$265.05	$732.33	$952.03
United Facility/Professional Professional Modifier Low / Median / High Price $460.82 / $534.05 / $1,111.08	Professional		$460.82	$534.05	$1,111.08