Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.62 / $334.62 / $2,143.35	Facility		$334.62	$334.62	$2,143.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.17 / $334.62 / $468.46	Professional		$290.17	$334.62	$468.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $421.60 / $505.15 / $594.29	Professional		$421.60	$505.15	$594.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.11 / $1,046.84 / $2,358.09	Facility		$254.11	$1,046.84	$2,358.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.22 / $350.31 / $545.66	Professional		$286.22	$350.31	$545.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $879.49 / $1,570.52	Facility		$97.00	$879.49	$1,570.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $985.67 / $2,295.94	Professional		$100.00	$985.67	$2,295.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $372.88 / $397.10	Facility		$347.46	$372.88	$397.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $272.20 / $397.51	Professional		$272.20	$272.20	$397.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $347.88 / $417.46 / $817.16	Professional		$347.88	$417.46	$817.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.72 / $520.01 / $1,129.16	Professional		$445.72	$520.01	$1,129.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.08 / $3,528.63 / $3,528.63	Facility		$1,191.08	$3,528.63	$3,528.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,565.78 / $3,565.78 / $5,304.23	Professional		$3,565.78	$3,565.78	$5,304.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,713.08 / $1,713.08 / $1,713.08	Professional		$1,713.08	$1,713.08	$1,713.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $595.64 / $742.87	Facility		$179.44	$595.64	$742.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $372.88 / $576.50	Professional		$272.20	$372.88	$576.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,402.13 / $1,402.13 / $1,402.13	Professional		$1,402.13	$1,402.13	$1,402.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $347.88 / $591.40 / $594.29	Professional		$347.88	$591.40	$594.29
United Facility/Professional Professional Modifier Low / Median / High Price $264.50 / $313.62 / $993.91	Professional		$264.50	$313.62	$993.91