Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.75 / $2,323.51 / $5,886.82	Facility		$601.75	$2,323.51	$5,886.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $526.57 / $2,981.46	Professional		$368.49	$526.57	$2,981.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $233.96 / $233.96	Professional		$233.96	$233.96	$233.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.91 / $1,010.65 / $2,883.56	Facility		$337.91	$1,010.65	$2,883.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $717.31 / $1,540.47	Professional		$288.83	$717.31	$1,540.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $1,095.98 / $7,285.16	Facility		$59.90	$1,095.98	$7,285.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $521.51 / $1,304.04	Professional		$365.06	$521.51	$1,304.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.71 / $767.98 / $2,018.29	Facility		$398.71	$767.98	$2,018.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $511.37 / $1,626.93	Professional		$310.00	$511.37	$1,626.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $519.91 / $584.90 / $789.62	Professional		$519.91	$584.90	$789.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $643.39 / $1,286.78	Professional		$467.92	$643.39	$1,286.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Facility		$3,500.00	$3,500.00	$3,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,924.50 / $2,924.50 / $4,386.75	Professional		$2,924.50	$2,924.50	$4,386.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $292.45 / $292.45	Professional		$292.45	$292.45	$292.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.49 / $676.74 / $1,396.56	Facility		$368.49	$676.74	$1,396.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.61 / $657.91 / $1,334.72	Professional		$388.61	$657.91	$1,334.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,052.98 / $2,052.98 / $2,052.98	Professional		$2,052.98	$2,052.98	$2,052.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $530.30 / $883.85	Professional		$467.92	$530.30	$883.85
United Facility/Professional Facility Modifier Low / Median / High Price $245.66 / $584.90 / $584.90	Facility		$245.66	$584.90	$584.90
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $336.98 / $1,173.89	Professional		$245.66	$336.98	$1,173.89