Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.02 / $692.02 / $3,483.15	Facility		$692.02	$692.02	$3,483.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.13 / $692.02 / $1,431.02	Professional		$418.13	$692.02	$1,431.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $606.01 / $606.03 / $757.51	Professional		$606.01	$606.03	$757.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.34 / $835.61 / $1,445.94	Facility		$546.34	$835.61	$1,445.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.84 / $708.65 / $725.49	Professional		$580.84	$708.65	$725.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,476.92 / $2,637.36	Facility		$97.00	$1,476.92	$2,637.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $992.31 / $3,051.52	Professional		$100.00	$992.31	$3,051.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $959.04	Facility		$758.68	$758.68	$959.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $553.84 / $808.79	Professional		$553.84	$553.84	$808.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $755.89 / $907.07	Professional		$307.83	$755.89	$907.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $694.31 / $1,507.64	Professional		$239.43	$694.31	$1,507.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.16 / $3,377.04 / $3,377.04	Facility		$1,338.16	$3,377.04	$3,377.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,142.14 / $5,160.64 / $5,160.64	Professional		$5,142.14	$5,160.64	$5,160.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,186.14 / $2,186.14 / $2,186.14	Professional		$2,186.14	$2,186.14	$2,186.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $342.04 / $758.68	Facility		$249.06	$342.04	$758.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.33 / $553.84 / $758.68	Professional		$513.33	$553.84	$758.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,278.60 / $2,278.60 / $2,278.60	Professional		$2,278.60	$2,278.60	$2,278.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.63 / $755.89 / $982.66	Professional		$273.63	$755.89	$982.66
United Facility/Professional Professional Modifier Low / Median / High Price $519.01 / $596.90 / $1,573.94	Professional		$519.01	$596.90	$1,573.94