Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.40 / $401.40 / $2,261.26	Facility		$401.40	$401.40	$2,261.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.14 / $401.40 / $2,261.26	Professional		$318.14	$401.40	$2,261.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $548.61 / $626.98 / $626.98	Professional		$548.61	$626.98	$626.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.82 / $1,131.22 / $2,487.76	Facility		$304.82	$1,131.22	$2,487.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.71 / $424.98 / $735.33	Professional		$385.71	$424.98	$735.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $927.88 / $1,656.93	Facility		$97.00	$927.88	$1,656.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,039.86 / $2,422.21	Professional		$100.00	$1,039.86	$2,422.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.75 / $440.05 / $776.68	Facility		$392.75	$440.05	$776.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $516.02	Professional		$321.24	$321.24	$516.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $418.94 / $502.73 / $862.09	Professional		$418.94	$502.73	$862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.23 / $548.60 / $1,191.25	Professional		$470.23	$548.60	$1,191.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,605.08 / $3,722.67 / $3,722.67	Facility		$1,605.08	$3,722.67	$3,722.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,773.79 / $3,773.79 / $5,012.47	Professional		$3,773.79	$3,773.79	$5,012.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,200.32 / $2,200.32 / $2,200.32	Professional		$2,200.32	$2,200.32	$2,200.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $692.90 / $783.72	Facility		$215.25	$692.90	$783.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $440.05 / $681.92	Professional		$321.24	$440.05	$681.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.26 / $1,479.26 / $1,479.26	Professional		$1,479.26	$1,479.26	$1,479.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $418.94 / $626.98 / $628.41	Professional		$418.94	$626.98	$628.41
United Facility/Professional Professional Modifier Low / Median / High Price $317.29 / $391.00 / $758.34	Professional		$317.29	$391.00	$758.34