Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.91 / $542.91 / $2,849.53	Facility		$542.91	$542.91	$2,849.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $542.91 / $2,758.05	Professional		$431.52	$542.91	$2,758.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $671.58 / $758.89 / $790.10	Professional		$671.58	$758.89	$790.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.28 / $1,498.43 / $3,135.00	Facility		$412.28	$1,498.43	$3,135.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.63 / $544.83 / $941.02	Professional		$493.63	$544.83	$941.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,169.28 / $2,087.98	Facility		$97.00	$1,169.28	$2,087.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,310.40 / $3,052.37	Professional		$100.00	$1,310.40	$3,052.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $784.58	Facility		$710.11	$710.11	$784.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $1,173.00	Professional		$518.38	$518.38	$1,173.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $527.92 / $633.52 / $1,086.38	Professional		$527.92	$633.52	$1,086.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.57 / $691.33 / $1,501.18	Professional		$592.57	$691.33	$1,501.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,699.91 / $4,711.96 / $4,711.96	Facility		$1,699.91	$4,711.96	$4,711.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,094.49 / $5,094.49 / $7,407.15	Professional		$5,094.49	$5,094.49	$7,407.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,085.38 / $2,085.38 / $2,085.38	Professional		$2,085.38	$2,085.38	$2,085.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.14 / $873.16 / $1,017.26	Facility		$291.14	$873.16	$1,017.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $964.47	Professional		$518.38	$518.38	$964.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,864.10 / $1,864.10 / $1,864.10	Professional		$1,864.10	$1,864.10	$1,864.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $527.92 / $790.10 / $791.90	Professional		$527.92	$790.10	$791.90
United Facility/Professional Professional Modifier Low / Median / High Price $416.96 / $450.97 / $939.69	Professional		$416.96	$450.97	$939.69