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 / $1,159.79	Professional		$497.72	$791.01	$1,159.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.46 / $870.46 / $870.46	Professional		$870.46	$870.46	$870.46
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 / $800.91 / $864.98	Professional		$733.00	$800.91	$864.98
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 $854.15 / $854.15 / $1,238.42	Facility		$854.15	$854.15	$1,238.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $910.56	Professional		$623.53	$623.53	$910.56
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 / $854.15	Facility		$288.18	$395.76	$854.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.52 / $623.53 / $854.15	Professional		$577.52	$623.53	$854.15
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 / $1,435.44	Professional		$543.83	$630.26	$1,435.44