Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.14 / $1,655.14 / $10,556.20	Facility		$1,655.14	$1,655.14	$10,556.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.42 / $1,655.14 / $10,556.20	Professional		$1,286.42	$1,655.14	$10,556.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,561.07 / $2,926.94 / $2,926.94	Professional		$2,561.07	$2,926.94	$2,926.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.86 / $5,155.80 / $11,613.72	Facility		$1,256.86	$5,155.80	$11,613.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,577.81 / $1,972.92 / $3,007.92	Professional		$1,577.81	$1,972.92	$3,007.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,331.56 / $7,734.92	Facility		$97.00	$4,331.56	$7,734.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,854.43 / $11,307.60	Professional		$100.00	$4,854.43	$11,307.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.25 / $1,721.98 / $1,955.71	Facility		$1,711.25	$1,721.98	$1,955.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,257.05 / $2,019.28	Professional		$1,257.05	$1,257.05	$2,019.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,955.71 / $2,346.85 / $4,024.54	Professional		$1,955.71	$2,346.85	$4,024.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,195.19 / $2,561.07 / $5,561.18	Professional		$2,195.19	$2,561.07	$5,561.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,499.00 / $14,785.52 / $17,378.68	Facility		$5,499.00	$14,785.52	$17,378.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,561.62 / $17,575.11 / $20,668.43	Professional		$17,561.62	$17,575.11	$20,668.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,940.18 / $9,940.18 / $9,940.18	Professional		$9,940.18	$9,940.18	$9,940.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.57 / $3,178.03 / $3,658.67	Facility		$887.57	$3,178.03	$3,658.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $3,200.54	Professional		$1,257.05	$1,721.98	$3,200.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,905.61 / $6,905.61 / $6,905.61	Professional		$6,905.61	$6,905.61	$6,905.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,955.71 / $2,926.94 / $2,933.57	Professional		$1,955.71	$2,926.94	$2,933.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,123.22 / $3,674.38 / $3,674.38	Facility		$3,123.22	$3,674.38	$3,674.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.29 / $1,656.80 / $3,814.09	Professional		$1,308.29	$1,656.80	$3,814.09