Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.99 / $996.99 / $6,385.91	Facility		$996.99	$996.99	$6,385.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.83 / $996.99 / $1,461.79	Professional		$842.83	$996.99	$1,461.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,505.04 / $1,505.04 / $2,124.77	Professional		$1,505.04	$1,505.04	$2,124.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.77 / $3,392.99 / $7,025.68	Facility		$964.77	$3,392.99	$7,025.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.08 / $1,124.88 / $1,651.82	Professional		$800.08	$1,124.88	$1,651.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,620.36 / $4,679.21	Facility		$97.00	$2,620.36	$4,679.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,936.68 / $6,840.50	Professional		$100.00	$2,936.68	$6,840.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,980.17	Facility		$1,037.25	$1,037.25	$1,980.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $757.19 / $1,105.76	Professional		$757.19	$757.19	$1,105.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.32 / $1,595.18 / $2,434.63	Professional		$1,329.32	$1,595.18	$2,434.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,327.98 / $1,549.31 / $3,364.22	Professional		$1,327.98	$1,549.31	$3,364.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,240.43 / $8,839.16 / $10,513.18	Facility		$3,240.43	$8,839.16	$10,513.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,623.84 / $10,644.35 / $15,885.90	Professional		$10,623.84	$10,644.35	$15,885.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,672.92 / $3,672.92 / $3,672.92	Professional		$3,672.92	$3,672.92	$3,672.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,956.76 / $2,213.30	Facility		$1,037.25	$1,956.76	$2,213.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $1,720.67	Professional		$757.19	$1,037.25	$1,720.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,177.52 / $4,177.52 / $4,177.52	Professional		$4,177.52	$4,177.52	$4,177.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,329.32 / $1,770.64 / $1,991.97	Professional		$1,329.32	$1,770.64	$1,991.97
United Facility/Professional Professional Modifier Low / Median / High Price $765.69 / $828.14 / $2,213.30	Professional		$765.69	$828.14	$2,213.30