Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $1,511.36 / $4,162.43	Facility		$741.00	$1,511.36	$4,162.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $741.00 / $1,557.43	Professional		$733.66	$741.00	$1,557.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.40 / $1,167.30 / $1,431.59	Professional		$954.40	$1,167.30	$1,431.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $778.35 / $1,171.89 / $2,874.81	Facility		$778.35	$1,171.89	$2,874.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.57 / $761.86 / $1,395.10	Professional		$700.57	$761.86	$1,395.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $1,214.84	Facility		$77.70	$100.00	$1,214.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $747.51 / $747.51 / $1,501.00	Professional		$747.51	$747.51	$1,501.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $692.14 / $733.67	Facility		$692.14	$692.14	$733.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $795.96	Professional		$733.67	$733.67	$795.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $703.06 / $705.14 / $949.13	Professional		$703.06	$705.14	$949.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.30 / $880.40 / $1,467.34	Professional		$660.30	$880.40	$1,467.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,072.43 / $3,525.70 / $3,668.35	Facility		$1,072.43	$3,525.70	$3,668.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,104.06 / $3,104.06 / $3,104.06	Professional		$3,104.06	$3,104.06	$3,104.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $1,441.27 / $1,441.27	Professional		$60.00	$1,441.27	$1,441.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.30 / $733.67 / $1,135.85	Facility		$405.30	$733.67	$1,135.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $878.83	Professional		$733.67	$733.67	$878.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $896.38 / $896.38 / $896.38	Professional		$896.38	$896.38	$896.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $586.92 / $733.67 / $1,100.50	Professional		$586.92	$733.67	$1,100.50
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $1,309.77	Professional		$733.67	$733.67	$1,309.77