Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.90 / $2,231.94 / $5,505.92	Facility		$960.90	$2,231.94	$5,505.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.57 / $960.89 / $1,547.28	Professional		$835.57	$960.89	$1,547.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,069.26 / $1,171.17 / $1,188.65	Professional		$1,069.26	$1,171.17	$1,188.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.69 / $2,652.06 / $5,548.71	Facility		$729.69	$2,652.06	$5,548.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.69 / $968.81 / $1,665.60	Professional		$873.69	$968.81	$1,665.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,069.48 / $3,695.50	Facility		$97.00	$2,069.48	$3,695.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,319.31 / $5,402.48	Professional		$100.00	$2,319.31	$5,402.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.70 / $1,162.20 / $1,388.64	Facility		$437.70	$1,162.20	$1,388.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $848.41 / $1,433.06	Professional		$848.41	$848.41	$1,433.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $934.38 / $1,121.26 / $1,922.81	Professional		$934.38	$1,121.26	$1,922.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,048.81 / $1,223.60 / $2,656.98	Professional		$1,048.81	$1,223.60	$2,656.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,008.83 / $8,339.85 / $8,339.85	Facility		$3,008.83	$8,339.85	$8,339.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,016.74 / $9,016.74 / $13,110.08	Professional		$9,016.74	$9,016.74	$13,110.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,690.96 / $3,690.96 / $3,690.96	Professional		$3,690.96	$3,690.96	$3,690.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.29 / $1,518.36 / $1,800.47	Facility		$515.29	$1,518.36	$1,800.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,162.20 / $1,663.78	Professional		$848.41	$1,162.20	$1,663.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,299.30 / $3,299.30 / $3,299.30	Professional		$3,299.30	$3,299.30	$3,299.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $934.38 / $1,398.41 / $1,401.57	Professional		$934.38	$1,398.41	$1,401.57
United Facility/Professional Professional Modifier Low / Median / High Price $724.73 / $798.17 / $1,685.86	Professional		$724.73	$798.17	$1,685.86