Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.17 / $575.17 / $3,127.72	Facility		$575.17	$575.17	$3,127.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.14 / $575.17 / $3,127.72	Professional		$420.14	$575.17	$3,127.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.83 / $867.23 / $867.23	Professional		$758.83	$867.23	$867.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.78 / $1,587.48 / $3,441.07	Facility		$436.78	$1,587.48	$3,441.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.85 / $582.85 / $1,093.72	Professional		$582.85	$582.85	$1,093.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,283.41 / $2,291.80	Facility		$97.00	$1,283.41	$2,291.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,438.33 / $3,350.36	Professional		$100.00	$1,438.33	$3,350.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.02 / $694.09 / $694.09	Facility		$507.02	$694.09	$694.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $813.93	Professional		$506.69	$506.69	$813.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $427.29 / $512.75 / $1,192.44	Professional		$427.29	$512.75	$1,192.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.41 / $758.83 / $1,647.74	Professional		$650.41	$758.83	$1,647.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,387.36 / $5,149.18 / $5,149.18	Facility		$2,387.36	$5,149.18	$5,149.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,358.86 / $6,358.86 / $7,182.45	Professional		$6,358.86	$6,358.86	$7,182.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,881.64 / $2,881.64 / $2,881.64	Professional		$2,881.64	$2,881.64	$2,881.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.44 / $941.62 / $1,098.70	Facility		$308.44	$941.62	$1,098.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $694.09 / $921.43	Professional		$506.69	$694.09	$921.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,046.08 / $2,046.08 / $2,046.08	Professional		$2,046.08	$2,046.08	$2,046.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $427.29 / $726.39 / $867.23	Professional		$427.29	$726.39	$867.23
United Facility/Professional Professional Modifier Low / Median / High Price $454.64 / $486.14 / $1,084.04	Professional		$454.64	$486.14	$1,084.04