Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $3,162.28	Facility		$363.08	$363.08	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $2,754.23	Professional		$269.15	$363.08	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $616.60	Professional		$407.38	$524.81	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $354.81 / $1,513.56	Facility		$275.42	$354.81	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $831.76	Professional		$380.19	$389.05	$831.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,258.93 / $1,698.24	Facility		$100.00	$1,258.93	$1,698.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $2,344.23	Professional		$691.83	$1,348.96	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $457.09	Facility		$338.84	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $891.25	Professional		$194.98	$245.47	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,174.90	Professional		$436.52	$660.69	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,570.88 / $4,570.88	Professional		$3,981.07	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $630.96 / $891.25	Facility		$223.87	$630.96	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $588.84	Professional		$338.84	$338.84	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $660.69	Professional		$194.98	$295.12	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $398.11 / $831.76	Facility		$50.12	$398.11	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $741.31	Professional		$281.84	$363.08	$741.31