Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.44 / $676.44 / $3,550.50	Facility		$676.44	$676.44	$3,550.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.66 / $676.44 / $3,550.50	Professional		$537.66	$676.44	$3,550.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $984.46 / $984.46 / $984.46	Professional		$984.46	$984.46	$984.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.67 / $1,866.97 / $3,906.23	Facility		$513.67	$1,866.97	$3,906.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.04 / $737.29 / $1,172.50	Professional		$615.04	$737.29	$1,172.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,456.86 / $2,601.53	Facility		$97.00	$1,456.86	$2,601.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,632.78 / $3,803.27	Professional		$100.00	$1,632.78	$3,803.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $977.57	Facility		$741.89	$741.89	$977.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $790.90	Professional		$541.58	$541.58	$790.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $657.77 / $789.32 / $1,353.64	Professional		$657.77	$789.32	$1,353.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.35 / $861.41 / $1,870.48	Professional		$738.35	$861.41	$1,870.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,118.06 / $5,871.01 / $5,871.01	Facility		$2,118.06	$5,871.01	$5,871.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,347.36 / $6,347.36 / $9,229.35	Professional		$6,347.36	$6,347.36	$9,229.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,598.23 / $2,598.23 / $2,598.23	Professional		$2,598.23	$2,598.23	$2,598.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.74 / $1,109.71 / $1,267.43	Facility		$362.74	$1,109.71	$1,267.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $741.89 / $1,171.29	Professional		$541.58	$741.89	$1,171.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,322.66 / $2,322.66 / $2,322.66	Professional		$2,322.66	$2,322.66	$2,322.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.77 / $984.46 / $986.66	Professional		$657.77	$984.46	$986.66
United Facility/Professional Professional Modifier Low / Median / High Price $516.71 / $562.79 / $1,301.71	Professional		$516.71	$562.79	$1,301.71