Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.91 / $351.91 / $2,254.11	Facility		$351.91	$351.91	$2,254.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.12 / $351.91 / $2,254.11	Professional		$262.12	$351.91	$2,254.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $439.46 / $439.46 / $625.00	Professional		$439.46	$439.46	$625.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.23 / $1,100.94 / $2,479.92	Facility		$267.23	$1,100.94	$2,479.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $355.30 / $544.91	Professional		$285.83	$355.30	$544.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $924.92 / $1,651.65	Facility		$97.00	$924.92	$1,651.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,036.58 / $2,414.58	Professional		$100.00	$1,036.58	$2,414.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.41 / $379.03 / $417.61	Facility		$365.41	$379.03	$417.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $679.13	Professional		$276.69	$276.69	$679.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $244.66 / $859.38	Professional		$203.88	$244.66	$859.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.75 / $546.88 / $1,187.50	Professional		$468.75	$546.88	$1,187.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,132.81 / $3,128.86 / $3,710.94	Facility		$1,132.81	$3,128.86	$3,710.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.63 / $3,890.63 / $5,859.38	Professional		$3,890.63	$3,890.63	$5,859.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,409.55 / $1,409.55 / $1,409.55	Professional		$1,409.55	$1,409.55	$1,409.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.72 / $678.61 / $781.25	Facility		$188.72	$678.61	$781.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $703.82	Professional		$276.69	$276.69	$703.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,474.59 / $1,474.59 / $1,474.59	Professional		$1,474.59	$1,474.59	$1,474.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $346.60 / $625.00	Professional		$203.88	$346.60	$625.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.16 / $313.20 / $709.88	Professional		$275.16	$313.20	$709.88