Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.90 / $1,075.90 / $6,891.32	Facility		$1,075.90	$1,075.90	$6,891.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.69 / $1,075.90 / $1,599.56	Professional		$840.69	$1,075.90	$1,599.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,767.47 / $1,767.47 / $1,767.47	Professional		$1,767.47	$1,767.47	$1,767.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $817.01 / $3,365.83 / $7,581.72	Facility		$817.01	$3,365.83	$7,581.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.00 / $1,095.47 / $1,706.37	Professional		$859.00	$1,095.47	$1,706.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,827.73 / $5,049.52	Facility		$97.00	$2,827.73	$5,049.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,169.09 / $7,381.88	Professional		$100.00	$3,169.09	$7,381.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.36 / $1,186.93 / $1,276.73	Facility		$1,116.36	$1,186.93	$1,276.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,265.32	Professional		$866.46	$866.46	$1,265.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $980.95 / $1,177.14 / $2,627.32	Professional		$980.95	$1,177.14	$2,627.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,433.08 / $1,671.93 / $3,630.47	Professional		$1,433.08	$1,671.93	$3,630.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,724.66 / $11,345.23 / $11,345.23	Facility		$3,724.66	$11,345.23	$11,345.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,732.79 / $11,732.79 / $13,815.00	Professional		$11,732.79	$11,732.79	$13,815.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,854.24 / $3,854.24 / $3,854.24	Professional		$3,854.24	$3,854.24	$3,854.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.95 / $1,915.09 / $2,388.46	Facility		$576.95	$1,915.09	$2,388.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,186.93 / $2,256.05	Professional		$866.46	$1,186.93	$2,256.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,508.14 / $4,508.14 / $4,508.14	Professional		$4,508.14	$4,508.14	$4,508.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $980.95 / $1,667.62 / $1,910.78	Professional		$980.95	$1,667.62	$1,910.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $826.28 / $909.35 / $2,330.48	Professional		$826.28	$909.35	$2,330.48