Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.29 / $690.29 / $753.92	Facility		$690.29	$690.29	$753.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.04 / $869.31 / $3,673.43	Professional		$651.04	$869.31	$3,673.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,826.39 / $1,826.39 / $3,580.10	Professional		$1,826.39	$1,826.39	$3,580.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $974.53 / $974.53 / $1,103.60	Facility		$974.53	$974.53	$1,103.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.30 / $1,009.82 / $1,758.12	Professional		$766.30	$1,009.82	$1,758.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $596.11 / $873.47 / $2,055.10	Professional		$596.11	$873.47	$2,055.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $883.74 / $883.74	Facility		$883.74	$883.74	$883.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.12 / $1,032.61 / $2,266.11	Professional		$773.12	$1,032.61	$2,266.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $842.14 / $1,136.89	Professional		$299.00	$842.14	$1,136.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.71 / $935.90 / $1,989.00	Professional		$706.71	$935.90	$1,989.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,685.72 / $3,456.04 / $3,729.84	Facility		$1,685.72	$3,456.04	$3,729.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,032.99 / $7,032.99 / $7,032.99	Professional		$7,032.99	$7,032.99	$7,032.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,109.67	Professional		$32.34	$32.34	$1,109.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $682.48 / $928.24 / $1,347.42	Facility		$682.48	$928.24	$1,347.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $805.55 / $1,160.34 / $2,102.19	Professional		$805.55	$1,160.34	$2,102.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,067.94 / $2,067.94 / $2,067.94	Professional		$2,067.94	$2,067.94	$2,067.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $448.51 / $765.39 / $935.47	Professional		$448.51	$765.39	$935.47
United Facility/Professional Professional Modifier Low / Median / High Price $624.98 / $819.49 / $1,727.46	Professional		$624.98	$819.49	$1,727.46