Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.59 / $361.59 / $1,846.21	Facility		$361.59	$361.59	$1,846.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $361.59 / $1,846.21	Professional		$269.33	$361.59	$1,846.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.92 / $511.91 / $511.91	Professional		$447.92	$511.91	$511.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.58 / $980.95 / $2,031.20	Facility		$274.58	$980.95	$2,031.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.79 / $365.89 / $559.91	Professional		$293.79	$365.89	$559.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $757.54 / $1,352.75	Facility		$97.00	$757.54	$1,352.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $849.02 / $1,977.62	Professional		$100.00	$849.02	$1,977.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.27 / $382.03 / $382.03	Facility		$299.27	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $447.99	Professional		$278.88	$278.88	$447.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $373.07 / $703.88	Professional		$310.89	$373.07	$703.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.93 / $447.92 / $972.63	Professional		$383.93	$447.92	$972.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.16 / $3,210.96 / $3,210.96	Facility		$1,222.16	$3,210.96	$3,210.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,997.65 / $3,997.65 / $4,905.30	Professional		$3,997.65	$3,997.65	$4,905.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,410.55 / $2,410.55 / $2,410.55	Professional		$2,410.55	$2,410.55	$2,410.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $565.70 / $671.88	Facility		$193.91	$565.70	$671.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $676.42	Professional		$278.88	$382.03	$676.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,207.75 / $1,207.75 / $1,207.75	Professional		$1,207.75	$1,207.75	$1,207.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $511.91 / $511.91	Professional		$310.89	$511.91	$511.91
United Facility/Professional Professional Modifier Low / Median / High Price $282.73 / $305.62 / $602.05	Professional		$282.73	$305.62	$602.05