Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $3,235.94	Facility		$331.13	$331.13	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $1,479.11	Professional		$269.15	$331.13	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $602.56	Professional		$288.40	$436.52	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $1,479.11	Facility		$257.04	$323.59	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $812.83	Professional		$346.74	$363.08	$812.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,288.25 / $1,737.80	Facility		$100.00	$1,288.25	$1,737.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,380.38 / $2,398.83	Professional		$724.44	$1,380.38	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $371.54 / $371.54	Facility		$346.74	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $371.54	Professional		$269.15	$269.15	$371.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $912.01	Professional		$346.74	$436.52	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,202.26	Professional		$457.09	$676.08	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,248.07 / $5,248.07	Professional		$3,548.13	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $616.60 / $912.01	Facility		$229.09	$616.60	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $588.84	Professional		$269.15	$269.15	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $676.08	Professional		$346.74	$524.81	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $275.42 / $758.58	Facility		$45.71	$275.42	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $741.31	Professional		$257.04	$316.23	$741.31