Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.17 / $1,060.17 / $6,790.58	Facility		$1,060.17	$1,060.17	$6,790.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.51 / $1,060.17 / $6,790.58	Professional		$915.51	$1,060.17	$6,790.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,765.16 / $1,765.16 / $1,765.16	Professional		$1,765.16	$1,765.16	$1,765.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $805.12 / $3,316.62 / $7,470.87	Facility		$805.12	$3,316.62	$7,470.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.83 / $1,138.79 / $2,005.19	Professional		$1,051.83	$1,138.79	$2,005.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,786.40 / $4,975.71	Facility		$97.00	$2,786.40	$4,975.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,122.77 / $7,273.97	Professional		$100.00	$3,122.77	$7,273.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.81 / $1,184.20 / $1,258.06	Facility		$1,100.81	$1,184.20	$1,258.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $864.47 / $1,388.66	Professional		$864.47	$864.47	$1,388.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.86 / $1,485.44 / $2,588.91	Professional		$1,237.86	$1,485.44	$2,588.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.13 / $1,647.49 / $3,577.40	Professional		$1,412.13	$1,647.49	$3,577.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,369.63 / $11,179.36 / $11,179.36	Facility		$4,369.63	$11,179.36	$11,179.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,813.65 / $14,145.17 / $14,145.17	Professional		$13,813.65	$14,145.17	$14,145.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,161.70 / $4,161.70 / $4,161.70	Professional		$4,161.70	$4,161.70	$4,161.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $2,034.02 / $2,387.76	Facility		$568.52	$2,034.02	$2,387.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,184.20 / $2,240.15	Professional		$864.47	$1,184.20	$2,240.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,442.25 / $4,442.25 / $4,442.25	Professional		$4,442.25	$4,442.25	$4,442.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,237.86 / $1,882.84 / $1,882.84	Professional		$1,237.86	$1,882.84	$1,882.84
United Facility/Professional Professional Modifier Low / Median / High Price $799.60 / $882.06 / $2,374.55	Professional		$799.60	$882.06	$2,374.55