Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.49 / $382.49 / $1,837.43	Facility		$382.49	$382.49	$1,837.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $382.49 / $1,837.43	Professional		$284.89	$382.49	$1,837.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $477.63 / $509.47	Professional		$477.63	$477.63	$509.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.51 / $976.28 / $2,021.52	Facility		$290.51	$976.28	$2,021.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.67 / $386.54 / $592.26	Professional		$310.67	$386.54	$592.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $753.95 / $1,346.34	Facility		$97.00	$753.95	$1,346.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $844.99 / $1,968.24	Professional		$100.00	$844.99	$1,968.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.86 / $397.94 / $397.94	Facility		$297.86	$397.94	$397.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $290.50 / $424.22	Professional		$290.50	$290.50	$424.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $283.36 / $700.52	Professional		$236.13	$283.36	$700.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.10 / $445.79 / $968.00	Professional		$382.10	$445.79	$968.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.68 / $3,385.23 / $3,385.23	Facility		$1,273.68	$3,385.23	$3,385.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,203.14 / $4,203.14 / $4,776.30	Professional		$4,203.14	$4,203.14	$4,776.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,740.69 / $1,740.69 / $1,740.69	Professional		$1,740.69	$1,740.69	$1,740.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $563.02 / $668.68	Facility		$205.11	$563.02	$668.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $397.94 / $606.16	Professional		$290.50	$397.94	$606.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,202.01 / $1,202.01 / $1,202.01	Professional		$1,202.01	$1,202.01	$1,202.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $401.42 / $509.47	Professional		$236.13	$401.42	$509.47
United Facility/Professional Professional Modifier Low / Median / High Price $299.06 / $323.27 / $642.52	Professional		$299.06	$323.27	$642.52