Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $1,373.79 / $7,458.80	Facility		$306.00	$1,373.79	$7,458.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $375.94 / $3,016.00	Professional		$306.00	$375.94	$3,016.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,527.52 / $5,527.52 / $5,527.52	Professional		$5,527.52	$5,527.52	$5,527.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.73 / $2,083.59 / $5,718.80	Facility		$568.73	$2,083.59	$5,718.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $21.40 / $1,674.00	Professional		$16.77	$21.40	$1,674.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $838.68 / $3,271.20	Facility		$92.60	$838.68	$3,271.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $364.13 / $520.17 / $1,479.03	Professional		$364.13	$520.17	$1,479.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.46 / $2,005.64 / $3,883.10	Facility		$746.46	$2,005.64	$3,883.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.62 / $997.92 / $3,139.87	Professional		$617.62	$997.92	$3,139.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,276.00 / $1,566.00	Professional		$1,160.00	$1,276.00	$1,566.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,334.00 / $2,422.00	Professional		$1,044.00	$1,334.00	$2,422.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,018.40 / $5,510.00 / $5,510.00	Facility		$2,018.40	$5,510.00	$5,510.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,800.00 / $5,800.00 / $8,700.00	Professional		$5,800.00	$5,800.00	$8,700.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $554.23 / $1,392.00 / $3,333.43	Facility		$554.23	$1,392.00	$3,333.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $704.63 / $1,334.00 / $2,320.00	Professional		$704.63	$1,334.00	$2,320.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,071.60 / $4,071.60 / $4,071.60	Professional		$4,071.60	$4,071.60	$4,071.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $551.26 / $918.77 / $1,160.00	Professional		$551.26	$918.77	$1,160.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $523.98 / $2,572.17	Professional		$487.20	$523.98	$2,572.17