Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.22 / $364.22 / $2,081.13	Facility		$364.22	$364.22	$2,081.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $364.22 / $686.99	Professional		$272.02	$364.22	$686.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $518.90 / $518.90 / $518.90	Professional		$518.90	$518.90	$518.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.58 / $1,041.14 / $2,289.65	Facility		$276.58	$1,041.14	$2,289.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.51 / $379.58 / $643.44	Professional		$337.51	$379.58	$643.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $853.95 / $1,524.90	Facility		$98.20	$853.95	$1,524.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $957.05 / $2,229.28	Professional		$100.00	$957.05	$2,229.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.37 / $459.90 / $459.90	Facility		$337.37	$459.90	$459.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $802.13	Professional		$335.73	$335.73	$802.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $234.54 / $793.44	Professional		$195.45	$234.54	$793.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.79 / $504.92 / $1,096.39	Professional		$432.79	$504.92	$1,096.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,404.50 / $3,426.22 / $3,426.22	Facility		$1,404.50	$3,426.22	$3,426.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,002.47 / $4,002.47 / $4,548.22	Professional		$4,002.47	$4,002.47	$4,548.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,428.08 / $2,428.08 / $2,428.08	Professional		$2,428.08	$2,428.08	$2,428.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $613.11 / $757.38	Facility		$195.32	$613.11	$757.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $648.48	Professional		$335.73	$335.73	$648.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,361.43 / $1,361.43 / $1,361.43	Professional		$1,361.43	$1,361.43	$1,361.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $332.27 / $577.04	Professional		$195.45	$332.27	$577.04
United Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $356.64 / $735.41	Professional		$287.89	$356.64	$735.41