Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.94 / $1,160.94 / $6,093.35	Facility		$1,160.94	$1,160.94	$6,093.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.75 / $1,160.94 / $6,093.35	Professional		$922.75	$1,160.94	$6,093.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,689.53 / $1,689.53 / $1,689.53	Professional		$1,689.53	$1,689.53	$1,689.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.60 / $3,204.18 / $6,703.84	Facility		$881.60	$3,204.18	$6,703.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.06 / $1,300.05 / $2,012.31	Professional		$1,084.06	$1,300.05	$2,012.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,500.30 / $4,464.82	Facility		$97.00	$2,500.30	$4,464.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,802.15 / $6,527.12	Professional		$100.00	$2,802.15	$6,527.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $987.78 / $1,207.83 / $1,207.83	Facility		$987.78	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $1,287.59	Professional		$881.72	$881.72	$1,287.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.89 / $1,354.67 / $2,323.10	Professional		$1,128.89	$1,354.67	$2,323.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,267.15 / $1,478.34 / $3,210.10	Professional		$1,267.15	$1,478.34	$3,210.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,054.32 / $10,094.70 / $10,094.70	Facility		$4,054.32	$10,094.70	$10,094.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,655.70 / $12,121.92 / $15,839.33	Professional		$11,655.70	$12,121.92	$15,839.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,459.38 / $4,459.38 / $4,459.38	Professional		$4,459.38	$4,459.38	$4,459.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.55 / $1,849.26 / $2,175.31	Facility		$622.55	$1,849.26	$2,175.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $2,010.15	Professional		$881.72	$1,207.83	$2,010.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,986.14 / $3,986.14 / $3,986.14	Professional		$3,986.14	$3,986.14	$3,986.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,128.89 / $1,689.53 / $1,693.34	Professional		$1,128.89	$1,689.53	$1,693.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $917.65 / $1,053.60 / $2,130.73	Professional		$917.65	$1,053.60	$2,130.73