Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.41 / $302.41 / $1,936.99	Facility		$302.41	$302.41	$1,936.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $302.41 / $1,257.85	Professional		$249.21	$302.41	$1,257.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $503.51 / $503.51 / $503.51	Professional		$503.51	$503.51	$503.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.64 / $946.07 / $2,131.07	Facility		$229.64	$946.07	$2,131.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $302.33 / $510.60	Professional		$245.63	$302.33	$510.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $794.81 / $1,419.30	Facility		$97.00	$794.81	$1,419.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $890.77 / $2,074.89	Professional		$100.00	$890.77	$2,074.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $319.76 / $358.86	Facility		$313.79	$319.76	$358.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $583.88	Professional		$233.42	$233.42	$583.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $262.19 / $314.63 / $738.49	Professional		$262.19	$314.63	$738.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.81 / $469.95 / $1,020.45	Professional		$402.81	$469.95	$1,020.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.83 / $3,188.91 / $3,188.91	Facility		$977.83	$3,188.91	$3,188.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,222.48 / $3,222.48 / $4,104.45	Professional		$3,222.48	$3,222.48	$4,104.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,874.99 / $1,874.99 / $1,874.99	Professional		$1,874.99	$1,874.99	$1,874.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $570.65 / $671.35	Facility		$162.16	$570.65	$671.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $607.16	Professional		$233.42	$233.42	$607.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,267.13 / $1,267.13 / $1,267.13	Professional		$1,267.13	$1,267.13	$1,267.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $262.19 / $445.72 / $537.08	Professional		$262.19	$445.72	$537.08
United Facility/Professional Professional Modifier Low / Median / High Price $228.09 / $255.60 / $671.35	Professional		$228.09	$255.60	$671.35