Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.61 / $3,134.43 / $6,834.47	Facility		$698.61	$3,134.43	$6,834.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $791.76 / $1,145.00	Professional		$479.76	$791.76	$1,145.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $435.52 / $521.58	Professional		$407.43	$435.52	$521.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.85 / $2,249.69 / $4,913.14	Facility		$388.85	$2,249.69	$4,913.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $345.38 / $1,131.49	Professional		$335.33	$345.38	$1,131.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $490.95 / $1,914.92	Facility		$92.60	$490.95	$1,914.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $381.44 / $544.91 / $1,369.85	Professional		$381.44	$544.91	$1,369.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.76 / $1,212.03 / $2,838.98	Facility		$498.76	$1,212.03	$2,838.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.38 / $810.70 / $1,872.96	Professional		$441.38	$810.70	$1,872.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $543.24 / $1,303.95 / $1,760.33	Professional		$543.24	$1,303.95	$1,760.33
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $435.51 / $471.56 / $641.32	Professional		$435.51	$471.56	$641.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.16 / $1,434.35 / $2,281.91	Professional		$1,043.16	$1,434.35	$2,281.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,194.68 / $6,193.76 / $6,193.76	Facility		$3,194.68	$6,193.76	$6,193.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $651.97 / $651.97 / $912.76	Professional		$651.97	$651.97	$912.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $543.24 / $1,191.73 / $2,086.32	Facility		$543.24	$1,191.73	$2,086.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.21 / $807.46 / $1,556.84	Professional		$451.21	$807.46	$1,556.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,383.46 / $2,383.46 / $2,383.46	Professional		$2,383.46	$2,383.46	$2,383.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $554.10 / $1,043.16 / $1,303.95	Professional		$554.10	$1,043.16	$1,303.95
United Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $391.22 / $1,359.61	Professional		$285.20	$391.22	$1,359.61