Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.04 / $553.04 / $2,656.81	Facility		$553.04	$553.04	$2,656.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.56 / $553.04 / $1,043.16	Professional		$479.56	$553.04	$1,043.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $567.73 / $736.66 / $736.66	Professional		$567.73	$736.66	$736.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.02 / $1,411.63 / $2,922.99	Facility		$420.02	$1,411.63	$2,922.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $557.09 / $943.44	Professional		$492.35	$557.09	$943.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,090.17 / $1,946.73	Facility		$98.20	$1,090.17	$1,946.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,221.79 / $2,845.93	Professional		$100.00	$1,221.79	$2,845.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.40 / $632.51 / $632.51	Facility		$430.40	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $741.71	Professional		$461.73	$461.73	$741.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $349.56 / $419.47 / $1,012.91	Professional		$349.56	$419.47	$1,012.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.50 / $644.58 / $1,399.66	Professional		$552.50	$644.58	$1,399.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.61 / $4,802.66 / $4,802.66	Facility		$1,695.61	$4,802.66	$4,802.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,555.28 / $5,555.28 / $8,680.12	Professional		$5,555.28	$5,555.28	$8,680.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,163.20 / $2,163.20 / $2,163.20	Professional		$2,163.20	$2,163.20	$2,163.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $799.85 / $966.87	Facility		$296.57	$799.85	$966.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $910.22	Professional		$461.73	$632.51	$910.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,738.02 / $1,738.02 / $1,738.02	Professional		$1,738.02	$1,738.02	$1,738.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.56 / $594.25 / $736.66	Professional		$349.56	$594.25	$736.66
United Facility/Professional Professional Modifier Low / Median / High Price $417.12 / $459.39 / $929.04	Professional		$417.12	$459.39	$929.04