Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.77 / $758.77 / $4,104.97	Facility		$758.77	$758.77	$4,104.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.76 / $758.77 / $1,625.04	Professional		$758.76	$758.77	$1,625.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,138.21 / $1,138.21 / $6,779.59	Professional		$1,138.21	$1,138.21	$6,779.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.19 / $2,094.16 / $4,516.27	Facility		$576.19	$2,094.16	$4,516.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.45 / $765.53 / $1,451.65	Professional		$761.45	$765.53	$1,451.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,684.41 / $3,007.87	Facility		$97.00	$1,684.41	$3,007.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,887.75 / $4,397.21	Professional		$100.00	$1,887.75	$4,397.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,238.42	Facility		$906.54	$906.54	$1,238.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $966.42	Professional		$661.77	$661.77	$966.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $760.51 / $912.61 / $1,565.04	Professional		$760.51	$912.61	$1,565.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $853.66 / $995.93 / $2,162.60	Professional		$853.66	$995.93	$2,162.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,622.33 / $6,758.11 / $6,758.11	Facility		$2,622.33	$6,758.11	$6,758.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,284.37 / $7,284.37 / $9,474.98	Professional		$7,284.37	$7,284.37	$9,474.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,016.75 / $3,016.75 / $3,016.75	Professional		$3,016.75	$3,016.75	$3,016.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $1,280.48 / $1,471.59	Facility		$406.89	$1,280.48	$1,471.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $906.54 / $1,258.07	Professional		$661.77	$906.54	$1,258.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,685.38 / $2,685.38 / $2,685.38	Professional		$2,685.38	$2,685.38	$2,685.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $760.51 / $1,138.21 / $1,140.77	Professional		$760.51	$1,138.21	$1,140.77
United Facility/Professional Professional Modifier Low / Median / High Price $572.27 / $630.26 / $1,406.09	Professional		$572.27	$630.26	$1,406.09