Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.86 / $428.86 / $2,359.77	Facility		$428.86	$428.86	$2,359.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.58 / $428.86 / $621.84	Professional		$290.58	$428.86	$621.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.23 / $411.48 / $679.78	Professional		$310.23	$411.48	$679.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.43 / $707.91 / $1,795.05	Facility		$490.43	$707.91	$1,795.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.73 / $453.88 / $582.12	Professional		$389.73	$453.88	$582.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,000.58 / $1,786.76	Facility		$97.00	$1,000.58	$1,786.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $884.07 / $2,067.35	Professional		$100.00	$884.07	$2,067.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $678.82	Facility		$465.67	$465.67	$678.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $496.43	Professional		$339.94	$339.94	$496.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $398.87 / $512.10 / $614.52	Professional		$398.87	$512.10	$614.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.23 / $475.85 / $1,033.27	Professional		$310.23	$475.85	$1,033.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $898.64 / $2,424.52 / $2,424.52	Facility		$898.64	$2,424.52	$2,424.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,450.30 / $3,450.30 / $3,679.65	Professional		$3,450.30	$3,450.30	$3,679.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,042.28 / $1,042.28 / $1,042.28	Professional		$1,042.28	$1,042.28	$1,042.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.72 / $443.19 / $531.83	Facility		$322.72	$443.19	$531.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $443.19 / $516.35	Professional		$339.94	$443.19	$516.35
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 $354.55 / $512.10 / $665.73	Professional		$354.55	$512.10	$665.73
United Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $341.71 / $737.45	Professional		$294.83	$341.71	$737.45