Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $3,162.28	Facility		$380.19	$380.19	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $2,818.38	Professional		$275.42	$380.19	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $363.08 / $1,548.82	Facility		$288.40	$363.08	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $812.83	Professional		$380.19	$380.19	$812.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,288.25 / $1,698.24	Facility		$100.00	$1,288.25	$1,698.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,380.38 / $2,344.23	Professional		$707.95	$1,380.38	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $398.11	Facility		$338.84	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $398.11	Professional		$288.40	$288.40	$398.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $891.25	Professional		$269.15	$338.84	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,174.90	Professional		$446.68	$676.08	$1,174.90
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 $3,630.78 / $5,128.61 / $5,128.61	Professional		$3,630.78	$5,128.61	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $660.69 / $933.25	Facility		$234.42	$660.69	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $691.83	Professional		$288.40	$288.40	$691.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $676.08	Professional		$269.15	$407.38	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $416.87 / $851.14	Facility		$52.48	$416.87	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $741.31	Professional		$295.12	$380.19	$741.31