Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.59 / $615.59 / $3,044.44	Facility		$615.59	$615.59	$3,044.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.21 / $615.59 / $892.60	Professional		$405.21	$615.59	$892.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $531.04 / $540.54 / $885.07	Professional		$531.04	$540.54	$885.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.48 / $934.39 / $2,378.06	Facility		$681.48	$934.39	$2,378.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.87 / $685.32 / $769.49	Professional		$663.87	$685.32	$769.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $634.33 / $2,474.16	Facility		$92.60	$634.33	$2,474.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $588.51 / $840.73 / $1,339.37	Professional		$588.51	$840.73	$1,339.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $712.60	Professional		$464.99	$464.99	$712.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $526.48 / $672.58 / $807.10	Professional		$526.48	$672.58	$807.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.49 / $619.54 / $1,345.31	Professional		$409.49	$619.54	$1,345.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,266.78 / $3,153.85 / $3,153.85	Facility		$1,266.78	$3,153.85	$3,153.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,494.50 / $4,494.50 / $4,856.85	Professional		$4,494.50	$4,494.50	$4,856.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $1,469.05	Professional		$70.00	$70.00	$1,469.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.96 / $584.98 / $695.62	Facility		$425.96	$584.98	$695.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $558.40 / $681.53	Professional		$464.99	$558.40	$681.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,991.60 / $1,991.60 / $1,991.60	Professional		$1,991.60	$1,991.60	$1,991.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.98 / $672.58 / $874.35	Professional		$467.98	$672.58	$874.35
United Facility/Professional Professional Modifier Low / Median / High Price $423.22 / $481.81 / $1,012.44	Professional		$423.22	$481.81	$1,012.44