Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $292.20 / $1,533.29	Facility		$292.20	$292.20	$1,533.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.71 / $292.20 / $1,533.29	Professional		$233.71	$292.20	$1,533.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.38 / $302.38 / $406.34	Professional		$302.38	$302.38	$406.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.63 / $848.84 / $1,820.31	Facility		$320.63	$848.84	$1,820.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.77 / $427.50 / $506.35	Professional		$272.77	$427.50	$506.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $629.15 / $1,123.49	Facility		$97.00	$629.15	$1,123.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $705.10 / $1,642.43	Professional		$100.00	$705.10	$1,642.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.61 / $388.32 / $388.32	Facility		$279.61	$388.32	$388.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $399.97	Professional		$330.07	$330.07	$399.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $340.87 / $584.55	Professional		$284.06	$340.87	$584.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.85 / $371.99 / $807.76	Professional		$318.85	$371.99	$807.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,105.25 / $2,524.25 / $2,524.25	Facility		$1,105.25	$2,524.25	$2,524.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,746.82 / $2,746.82 / $3,985.65	Professional		$2,746.82	$2,746.82	$3,985.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.14 / $1,122.14 / $1,122.14	Professional		$1,122.14	$1,122.14	$1,122.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $469.82 / $547.39	Facility		$156.69	$469.82	$547.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $388.32 / $505.81	Professional		$330.07	$388.32	$505.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,003.04 / $1,003.04 / $1,003.04	Professional		$1,003.04	$1,003.04	$1,003.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $425.14 / $426.09	Professional		$284.06	$425.14	$426.09
United Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $265.12 / $504.35	Professional		$228.47	$265.12	$504.35