Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,380.76 / $7,750.21	Professional		$967.98	$1,380.76	$7,750.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,062.14 / $1,062.14 / $1,062.14	Professional		$1,062.14	$1,062.14	$1,062.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.33 / $175.44 / $4,583.39	Facility		$158.33	$175.44	$4,583.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.07 / $1,715.58 / $3,238.56	Professional		$1,329.07	$1,715.58	$3,238.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,180.15 / $3,180.15 / $3,180.15	Facility		$3,180.15	$3,180.15	$3,180.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,427.05 / $1,451.77 / $2,133.91	Professional		$1,427.05	$1,451.77	$2,133.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,345.76 / $1,786.79 / $2,180.62	Facility		$1,345.76	$1,786.79	$2,180.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $3,663.75	Professional		$1,518.77	$1,786.79	$3,663.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,707.13 / $1,707.13 / $2,048.56	Professional		$1,707.13	$1,707.13	$2,048.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,611.70 / $1,880.31 / $3,223.39	Professional		$1,611.70	$1,880.31	$3,223.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,950.24 / $14,043.28 / $14,043.28	Facility		$3,950.24	$14,043.28	$14,043.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $865.13 / $1,830.80 / $2,686.16	Facility		$865.13	$1,830.80	$2,686.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $1,840.39	Professional		$1,518.77	$1,786.79	$1,840.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,070.02 / $5,070.02 / $5,070.02	Professional		$5,070.02	$5,070.02	$5,070.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,707.13 / $1,707.13 / $2,148.92	Professional		$1,707.13	$1,707.13	$2,148.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.19 / $1,340.09 / $2,296.03	Professional		$1,051.19	$1,340.09	$2,296.03