Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.75 / $363.75 / $1,909.19	Facility		$363.75	$363.75	$1,909.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.12 / $363.75 / $1,359.23	Professional		$289.12	$363.75	$1,359.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $496.29 / $496.29 / $496.29	Professional		$496.29	$496.29	$496.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.23 / $1,003.96 / $2,100.50	Facility		$276.23	$1,003.96	$2,100.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.74 / $396.47 / $630.53	Professional		$330.74	$396.47	$630.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $783.40 / $1,398.93	Facility		$97.00	$783.40	$1,398.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $877.98 / $2,045.10	Professional		$100.00	$877.98	$2,045.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $525.66	Facility		$419.48	$419.48	$525.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $491.90	Professional		$306.22	$306.22	$491.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $353.71 / $424.45 / $727.89	Professional		$353.71	$424.45	$727.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.03 / $463.20 / $1,005.81	Professional		$397.03	$463.20	$1,005.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.02 / $3,157.08 / $3,157.08	Facility		$1,139.02	$3,157.08	$3,157.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,413.19 / $3,413.19 / $4,962.89	Professional		$3,413.19	$3,413.19	$4,962.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,046.76 / $2,046.76 / $2,046.76	Professional		$2,046.76	$2,046.76	$2,046.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.06 / $585.01 / $681.58	Facility		$195.06	$585.01	$681.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $419.48 / $629.83	Professional		$306.22	$419.48	$629.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,248.95 / $1,248.95 / $1,248.95	Professional		$1,248.95	$1,248.95	$1,248.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $353.71 / $529.38 / $530.57	Professional		$353.71	$529.38	$530.57
United Facility/Professional Professional Modifier Low / Median / High Price $274.35 / $307.44 / $668.49	Professional		$274.35	$307.44	$668.49