Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.39 / $306.39 / $1,962.46	Facility		$306.39	$306.39	$1,962.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.93 / $306.39 / $876.80	Professional		$245.93	$306.39	$876.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $544.14 / $544.14 / $544.14	Professional		$544.14	$544.14	$544.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.67 / $958.51 / $2,159.10	Facility		$232.67	$958.51	$2,159.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.66 / $310.22 / $632.57	Professional		$307.66	$310.22	$632.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $805.27 / $1,437.98	Facility		$97.00	$805.27	$1,437.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $902.48 / $2,102.19	Professional		$100.00	$902.48	$2,102.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.92 / $361.45 / $363.58	Facility		$317.92	$361.45	$363.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $263.86 / $423.86	Professional		$263.86	$263.86	$423.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $309.77 / $748.20	Professional		$258.14	$309.77	$748.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.11 / $476.13 / $1,033.86	Professional		$408.11	$476.13	$1,033.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.77 / $3,230.86 / $3,230.86	Facility		$1,380.77	$3,230.86	$3,230.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,489.30 / $3,573.05 / $4,411.58	Professional		$3,489.30	$3,573.05	$4,411.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,531.90 / $1,531.90 / $1,531.90	Professional		$1,531.90	$1,531.90	$1,531.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $556.10 / $680.18	Facility		$164.30	$556.10	$680.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $498.94	Professional		$263.86	$361.45	$498.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,283.79 / $1,283.79 / $1,283.79	Professional		$1,283.79	$1,283.79	$1,283.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $438.86 / $544.14	Professional		$258.14	$438.86	$544.14
United Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $254.92 / $761.80	Professional		$235.31	$254.92	$761.80