Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.05 / $375.05 / $2,402.28	Facility		$375.05	$375.05	$2,402.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.55 / $375.05 / $2,325.14	Professional		$296.55	$375.05	$2,325.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $624.46 / $666.09 / $666.09	Professional		$624.46	$666.09	$666.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.86 / $1,173.31 / $2,642.95	Facility		$284.86	$1,173.31	$2,642.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.34 / $376.03 / $694.58	Professional		$364.34	$376.03	$694.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $985.72 / $1,760.22	Facility		$97.00	$985.72	$1,760.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,104.73 / $2,573.31	Professional		$100.00	$1,104.73	$2,573.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.43 / $523.66 / $523.66	Facility		$389.43	$523.66	$523.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $865.88	Professional		$382.28	$382.28	$865.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $332.00 / $398.40 / $915.87	Professional		$332.00	$398.40	$915.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.57 / $582.83 / $1,265.57	Professional		$499.57	$582.83	$1,265.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.13 / $3,954.90 / $3,954.90	Facility		$1,516.13	$3,954.90	$3,954.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,996.53 / $4,022.60 / $6,244.58	Professional		$3,996.53	$4,022.60	$6,244.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,875.19 / $1,875.19 / $1,875.19	Professional		$1,875.19	$1,875.19	$1,875.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $695.41 / $832.61	Facility		$201.12	$695.41	$832.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $707.72	Professional		$382.28	$382.28	$707.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,571.52 / $1,571.52 / $1,571.52	Professional		$1,571.52	$1,571.52	$1,571.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $332.00 / $564.40 / $666.09	Professional		$332.00	$564.40	$666.09
United Facility/Professional Professional Modifier Low / Median / High Price $288.04 / $311.54 / $756.55	Professional		$288.04	$311.54	$756.55