Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.02 / $791.02 / $4,104.97	Facility		$791.02	$791.02	$4,104.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.72 / $791.01 / $1,492.02	Professional		$497.72	$791.01	$1,492.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $711.02 / $764.28 / $1,160.60	Professional		$711.02	$764.28	$1,160.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.15 / $958.07 / $1,673.04	Facility		$632.15	$958.07	$1,673.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $742.43 / $815.62	Professional		$733.00	$742.43	$815.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,740.59 / $3,108.19	Facility		$97.00	$1,740.59	$3,108.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,158.84 / $3,596.29	Professional		$100.00	$1,158.84	$3,596.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,238.42	Facility		$812.83	$812.83	$1,238.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $952.31	Professional		$593.37	$593.37	$952.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $356.18 / $890.84 / $1,069.01	Professional		$356.18	$890.84	$1,069.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $812.43 / $1,764.13	Professional		$277.02	$812.43	$1,764.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,561.07 / $3,899.19 / $3,899.19	Facility		$1,561.07	$3,899.19	$3,899.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,489.35 / $6,489.35 / $6,489.35	Professional		$6,489.35	$6,489.35	$6,489.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,075.35 / $2,075.35 / $2,075.35	Professional		$2,075.35	$2,075.35	$2,075.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $395.76 / $812.83	Facility		$288.18	$395.76	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.52 / $593.37 / $812.83	Professional		$577.52	$593.37	$812.83
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 $316.61 / $890.84 / $1,158.08	Professional		$316.61	$890.84	$1,158.08
United Facility/Professional Professional Modifier Low / Median / High Price $543.83 / $630.26 / $1,267.81	Professional		$543.83	$630.26	$1,267.81