Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.41 / $573.41 / $3,672.89	Facility		$573.41	$573.41	$3,672.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.01 / $573.41 / $3,672.89	Professional		$418.01	$573.41	$3,672.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $891.10 / $891.10 / $1,018.40	Professional		$891.10	$891.10	$1,018.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.44 / $1,793.91 / $4,040.88	Facility		$435.44	$1,793.91	$4,040.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.75 / $581.25 / $887.92	Professional		$465.75	$581.25	$887.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,507.11 / $2,691.26	Facility		$97.00	$1,507.11	$2,691.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,689.05 / $3,934.36	Professional		$100.00	$1,689.05	$3,934.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.41 / $596.58 / $680.46	Facility		$595.41	$596.58	$680.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $1,107.00	Professional		$435.50	$435.50	$1,107.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $539.64 / $647.57 / $1,400.30	Professional		$539.64	$647.57	$1,400.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.80 / $891.10 / $1,934.96	Professional		$763.80	$891.10	$1,934.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,938.14 / $5,050.38 / $6,046.75	Facility		$1,938.14	$5,050.38	$6,046.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,402.83 / $6,556.50 / $7,495.13	Professional		$6,402.83	$6,556.50	$7,495.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,867.04 / $2,867.04 / $2,867.04	Professional		$2,867.04	$2,867.04	$2,867.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $1,049.32 / $1,273.00	Facility		$307.50	$1,049.32	$1,273.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $1,082.05	Professional		$435.50	$435.50	$1,082.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,402.71 / $2,402.71 / $2,402.71	Professional		$2,402.71	$2,402.71	$2,402.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $539.64 / $917.39 / $1,018.40	Professional		$539.64	$917.39	$1,018.40
United Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $629.41 / $733.98	Facility		$78.68	$629.41	$733.98
United Facility/Professional Professional Modifier Low / Median / High Price $448.35 / $559.41 / $1,273.00	Professional		$448.35	$559.41	$1,273.00