Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.58 / $379.58 / $2,111.69	Facility		$379.58	$379.58	$2,111.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.64 / $379.58 / $2,111.69	Professional		$281.64	$379.58	$2,111.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.33 / $512.33 / $512.33	Professional		$512.33	$512.33	$512.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.24 / $1,056.42 / $2,323.27	Facility		$288.24	$1,056.42	$2,323.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.32 / $384.00 / $702.16	Professional		$368.32	$384.00	$702.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $866.53 / $1,547.37	Facility		$97.00	$866.53	$1,547.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $971.12 / $2,262.04	Professional		$100.00	$971.12	$2,262.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.34 / $394.91 / $394.91	Facility		$342.34	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $420.99	Professional		$288.27	$288.27	$420.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $325.68 / $805.09	Professional		$271.39	$325.68	$805.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.14 / $512.33 / $1,112.49	Professional		$439.14	$512.33	$1,112.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,532.67 / $3,476.53 / $3,476.53	Facility		$1,532.67	$3,476.53	$3,476.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,622.91 / $3,622.91 / $5,120.10	Professional		$3,622.91	$3,622.91	$5,120.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,931.77 / $1,931.77 / $1,931.77	Professional		$1,931.77	$1,931.77	$1,931.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $635.77 / $741.81	Facility		$203.55	$635.77	$741.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $394.90 / $696.64	Professional		$288.27	$394.90	$696.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,381.43 / $1,381.43 / $1,381.43	Professional		$1,381.43	$1,381.43	$1,381.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $461.38 / $585.52	Professional		$271.39	$461.38	$585.52
United Facility/Professional Professional Modifier Low / Median / High Price $300.02 / $361.88 / $738.43	Professional		$300.02	$361.88	$738.43