Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.38 / $562.51 / $2,359.77	Facility		$411.38	$562.51	$2,359.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.96 / $411.38 / $1,747.00	Professional		$392.96	$411.38	$1,747.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $547.94 / $613.41 / $654.29	Professional		$547.94	$613.41	$654.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.39 / $1,180.53 / $2,596.19	Facility		$312.39	$1,180.53	$2,596.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $404.86 / $771.82	Professional		$330.00	$404.86	$771.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $968.29 / $1,729.09	Facility		$97.00	$968.29	$1,729.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,085.19 / $2,527.76	Professional		$100.00	$1,085.19	$2,527.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.27 / $460.00 / $460.00	Facility		$382.27	$460.00	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $335.80 / $490.38	Professional		$335.80	$335.80	$490.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $384.13 / $460.96 / $899.67	Professional		$384.13	$460.96	$899.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.73 / $572.52 / $1,243.18	Professional		$490.73	$572.52	$1,243.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,684.72 / $3,884.93 / $3,884.93	Facility		$1,684.72	$3,884.93	$3,884.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,383.55 / $4,383.55 / $6,849.30	Professional		$4,383.55	$4,383.55	$6,849.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,404.10 / $1,404.10 / $1,404.10	Professional		$1,404.10	$1,404.10	$1,404.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $684.93 / $828.93	Facility		$220.60	$684.93	$828.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $668.88	Professional		$335.80	$460.00	$668.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,543.71 / $1,543.71 / $1,543.71	Professional		$1,543.71	$1,543.71	$1,543.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $384.13 / $653.02 / $654.29	Professional		$384.13	$653.02	$654.29
United Facility/Professional Professional Modifier Low / Median / High Price $315.94 / $341.71 / $862.24	Professional		$315.94	$341.71	$862.24