Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.49 / $1,372.49 / $6,636.20	Facility		$1,372.49	$1,372.49	$6,636.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.46 / $1,372.49 / $6,636.20	Professional		$998.46	$1,372.49	$6,636.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,840.04 / $1,840.04 / $2,219.21	Professional		$1,840.04	$1,840.04	$2,219.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.29 / $3,525.98 / $7,301.05	Facility		$1,042.29	$3,525.98	$7,301.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,389.72 / $1,711.10 / $2,751.83	Professional		$1,389.72	$1,711.10	$2,751.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,723.06 / $4,862.60	Facility		$97.00	$2,723.06	$4,862.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,051.77 / $7,108.60	Professional		$100.00	$3,051.77	$7,108.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.79 / $1,800.00 / $1,800.00	Facility		$1,075.79	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,314.00 / $2,110.78	Professional		$1,314.00	$1,314.00	$2,110.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $829.38 / $995.26 / $2,530.06	Professional		$829.38	$995.26	$2,530.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.03 / $1,610.04 / $3,496.08	Professional		$1,380.03	$1,610.04	$3,496.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,971.05 / $11,959.60 / $11,959.60	Facility		$4,971.05	$11,959.60	$11,959.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,435.44 / $14,435.44 / $17,138.93	Professional		$14,435.44	$14,435.44	$17,138.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,978.31 / $5,978.31 / $5,978.31	Professional		$5,978.31	$5,978.31	$5,978.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $2,033.45 / $2,415.05	Facility		$736.00	$2,033.45	$2,415.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $2,299.16	Professional		$1,314.00	$1,800.00	$2,299.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,341.26 / $4,341.26 / $4,341.26	Professional		$4,341.26	$4,341.26	$4,341.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $829.38 / $1,409.95 / $1,840.04	Professional		$829.38	$1,409.95	$1,840.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.13 / $1,147.47 / $2,285.17	Professional		$1,073.13	$1,147.47	$2,285.17