Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.21 / $2,338.78 / $5,885.85	Facility		$508.21	$2,338.78	$5,885.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.21 / $600.00 / $2,396.75	Professional		$508.21	$600.00	$2,396.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $817.82 / $817.82 / $817.82	Professional		$817.82	$817.82	$817.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $4,230.87 / $12,071.40	Facility		$614.00	$4,230.87	$12,071.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $1,008.80 / $3,550.41	Professional		$979.42	$1,008.80	$3,550.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,770.31 / $6,904.94	Facility		$92.60	$1,770.31	$6,904.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,114.08 / $1,591.56 / $3,979.70	Professional		$1,114.08	$1,591.56	$3,979.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.30 / $3,183.12 / $7,894.14	Facility		$1,035.30	$3,183.12	$7,894.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $1,626.99 / $4,352.54	Professional		$979.42	$1,626.99	$4,352.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,693.42 / $3,917.70	Professional		$2,448.56	$2,693.42	$3,917.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,958.85 / $2,693.42 / $4,284.97	Professional		$1,958.85	$2,693.42	$4,284.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,917.70 / $11,630.66 / $11,630.66	Facility		$3,917.70	$11,630.66	$11,630.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,242.80 / $12,242.80 / $18,364.20	Professional		$12,242.80	$12,242.80	$18,364.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,224.28 / $1,224.28 / $1,713.99	Professional		$1,224.28	$1,224.28	$1,713.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.70 / $2,448.56 / $5,460.64	Facility		$538.70	$2,448.56	$5,460.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.10 / $2,448.56 / $4,611.01	Professional		$602.10	$2,448.56	$4,611.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,594.44 / $8,594.44 / $8,594.44	Professional		$8,594.44	$8,594.44	$8,594.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,958.85 / $2,448.56 / $4,162.55	Professional		$1,958.85	$2,448.56	$4,162.55
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $1,028.40 / $4,914.26	Professional		$252.88	$1,028.40	$4,914.26