Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.47 / $481.47 / $2,511.92	Facility		$481.47	$481.47	$2,511.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.49 / $481.47 / $962.94	Professional		$417.49	$481.47	$962.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $469.09 / $696.50 / $696.50	Professional		$469.09	$696.50	$696.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.62 / $1,328.85 / $2,763.61	Facility		$365.62	$1,328.85	$2,763.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.82 / $537.21 / $775.55	Professional		$406.82	$537.21	$775.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,030.74 / $1,840.60	Facility		$97.00	$1,030.74	$1,840.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,155.15 / $2,690.76	Professional		$100.00	$1,155.15	$2,690.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.20 / $544.74 / $544.74	Facility		$407.20	$544.74	$544.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $397.66 / $638.79	Professional		$397.66	$397.66	$638.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $449.28 / $539.14 / $957.68	Professional		$449.28	$539.14	$957.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.37 / $609.42 / $1,323.34	Professional		$522.37	$609.42	$1,323.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,603.29 / $4,222.76 / $4,222.76	Facility		$1,603.29	$4,222.76	$4,222.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,103.60 / $5,103.60 / $7,974.38	Professional		$5,103.60	$5,103.60	$7,974.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,407.29 / $2,407.29 / $2,407.29	Professional		$2,407.29	$2,407.29	$2,407.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.19 / $752.41 / $882.39	Facility		$258.19	$752.41	$882.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $544.74 / $793.19	Professional		$397.66	$544.74	$793.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,643.25 / $1,643.25 / $1,643.25	Professional		$1,643.25	$1,643.25	$1,643.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.28 / $696.50 / $696.50	Professional		$449.28	$696.50	$696.50
United Facility/Professional Professional Modifier Low / Median / High Price $363.14 / $399.93 / $847.32	Professional		$363.14	$399.93	$847.32