Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.27 / $314.27 / $1,509.80	Facility		$314.27	$314.27	$1,509.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.09 / $314.27 / $1,509.80	Professional		$234.09	$314.27	$1,509.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.46 / $392.46 / $418.62	Professional		$392.46	$392.46	$418.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.66 / $802.19 / $1,661.05	Facility		$238.66	$802.19	$1,661.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.28 / $317.41 / $486.65	Professional		$255.28	$317.41	$486.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $619.51 / $1,106.27	Facility		$98.20	$619.51	$1,106.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $694.31 / $1,617.27	Professional		$100.00	$694.31	$1,617.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.80 / $338.50 / $338.50	Facility		$224.80	$338.50	$338.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $247.11 / $360.86	Professional		$247.11	$247.11	$360.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $97.44 / $575.61	Professional		$81.20	$97.44	$575.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.97 / $366.30 / $801.00	Professional		$313.97	$366.30	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.26 / $2,790.84 / $2,790.84	Facility		$1,062.26	$2,790.84	$2,790.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,474.60 / $3,474.60 / $3,924.60	Professional		$3,474.60	$3,474.60	$3,924.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,251.52 / $1,251.52 / $1,251.52	Professional		$1,251.52	$1,251.52	$1,251.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $462.62 / $549.44	Facility		$168.53	$462.62	$549.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $338.50 / $498.07	Professional		$247.11	$338.50	$498.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $987.67 / $987.67 / $987.67	Professional		$987.67	$987.67	$987.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $138.04 / $418.62	Professional		$81.20	$138.04	$418.62
United Facility/Professional Professional Modifier Low / Median / High Price $245.74 / $265.64 / $506.33	Professional		$245.74	$265.64	$506.33