Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.70 / $481.70 / $2,713.54	Facility		$481.70	$481.70	$2,713.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.79 / $481.70 / $2,713.54	Professional		$381.79	$481.70	$2,713.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $658.34 / $711.63 / $752.38	Professional		$658.34	$711.63	$752.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.79 / $1,357.49 / $2,985.37	Facility		$365.79	$1,357.49	$2,985.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.86 / $510.00 / $882.42	Professional		$462.86	$510.00	$882.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,113.47 / $1,988.33	Facility		$97.00	$1,113.47	$1,988.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,247.86 / $2,906.69	Professional		$100.00	$1,247.86	$2,906.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.31 / $501.15 / $932.00	Facility		$471.31	$501.15	$932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $365.84 / $587.67	Professional		$365.84	$365.84	$587.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $502.73 / $603.28 / $1,034.53	Professional		$502.73	$603.28	$1,034.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.29 / $658.34 / $1,429.53	Professional		$564.29	$658.34	$1,429.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,926.15 / $4,467.28 / $4,467.28	Facility		$1,926.15	$4,467.28	$4,467.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $4,528.81 / $6,015.15	Professional		$4,528.81	$4,528.81	$6,015.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,640.50 / $2,640.50 / $2,640.50	Professional		$2,640.50	$2,640.50	$2,640.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $831.48 / $940.48	Facility		$258.31	$831.48	$940.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $501.15 / $818.33	Professional		$365.84	$501.15	$818.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,775.14 / $1,775.14 / $1,775.14	Professional		$1,775.14	$1,775.14	$1,775.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $502.73 / $752.38 / $754.10	Professional		$502.73	$752.38	$754.10
United Facility/Professional Professional Modifier Low / Median / High Price $380.75 / $469.20 / $948.88	Professional		$380.75	$469.20	$948.88