Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $2,884.03	Facility		$398.11	$398.11	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $2,511.89	Professional		$281.84	$398.11	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $1,548.82	Facility		$302.00	$380.19	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $724.44	Professional		$398.11	$398.11	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,148.15 / $1,548.82	Facility		$100.00	$1,148.15	$1,548.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $2,137.96	Professional		$630.96	$1,230.27	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $407.38	Facility		$309.03	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $407.38	Professional		$302.00	$302.00	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $812.83	Professional		$208.93	$257.04	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,071.52	Professional		$398.11	$602.56	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $5,248.07	Professional		$4,265.80	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $645.65 / $891.25	Facility		$223.87	$645.65	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $676.08	Professional		$302.00	$302.00	$676.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $602.56	Professional		$208.93	$309.03	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $436.52 / $891.25	Facility		$53.70	$436.52	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $676.08	Professional		$309.03	$398.11	$676.08