Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.72 / $423.72 / $2,714.03	Facility		$423.72	$423.72	$2,714.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.25 / $423.72 / $2,714.03	Professional		$308.25	$423.72	$2,714.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $658.46 / $658.46 / $658.46	Professional		$658.46	$658.46	$658.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.77 / $1,325.56 / $2,985.91	Facility		$321.77	$1,325.56	$2,985.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.16 / $455.05 / $656.11	Professional		$344.16	$455.05	$656.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,113.65 / $1,988.66	Facility		$98.20	$1,113.65	$1,988.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,248.08 / $2,907.21	Professional		$100.00	$1,248.08	$2,907.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $448.56 / $502.82	Facility		$439.96	$448.56	$502.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $478.19	Professional		$327.45	$327.45	$478.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $348.79 / $418.55 / $1,034.72	Professional		$348.79	$418.55	$1,034.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.39 / $658.46 / $1,429.79	Professional		$564.39	$658.46	$1,429.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.14 / $4,468.09 / $4,468.09	Facility		$1,432.14	$4,468.09	$4,468.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,656.22 / $4,656.22 / $5,291.18	Professional		$4,656.22	$4,656.22	$5,291.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,560.95 / $1,560.95 / $1,560.95	Professional		$1,560.95	$1,560.95	$1,560.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.22 / $761.44 / $940.65	Facility		$227.22	$761.44	$940.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $448.56 / $895.33	Professional		$327.45	$448.56	$895.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,775.45 / $1,775.45 / $1,775.45	Professional		$1,775.45	$1,775.45	$1,775.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $348.79 / $592.94 / $752.52	Professional		$348.79	$592.94	$752.52
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $334.93 / $424.15 / $910.18	Professional		$334.93	$424.15	$910.18