Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.84 / $560.84 / $2,694.25	Facility		$560.84	$560.84	$2,694.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.40 / $560.84 / $2,694.25	Professional		$444.40	$560.84	$2,694.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $747.04 / $747.04 / $747.04	Professional		$747.04	$747.04	$747.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.89 / $1,431.52 / $2,964.16	Facility		$425.89	$1,431.52	$2,964.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.54 / $566.70 / $868.43	Professional		$455.54	$566.70	$868.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,105.54 / $1,974.17	Facility		$97.00	$1,105.54	$1,974.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,238.99 / $2,886.03	Professional		$100.00	$1,238.99	$2,886.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.76 / $583.49 / $583.49	Facility		$436.76	$583.49	$583.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $622.03	Professional		$425.95	$425.95	$622.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $453.71 / $544.45 / $1,027.18	Professional		$453.71	$544.45	$1,027.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.28 / $653.66 / $1,419.38	Professional		$560.28	$653.66	$1,419.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,826.53 / $4,826.53	Facility		$1,768.00	$4,826.53	$4,826.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,163.10 / $6,163.10 / $7,952.10	Professional		$6,163.10	$6,163.10	$7,952.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,552.39 / $2,552.39 / $2,552.39	Professional		$2,552.39	$2,552.39	$2,552.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.75 / $825.56 / $980.49	Facility		$300.75	$825.56	$980.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $583.49 / $942.13	Professional		$425.95	$583.49	$942.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,762.51 / $1,762.51 / $1,762.51	Professional		$1,762.51	$1,762.51	$1,762.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $453.71 / $747.04 / $747.04	Professional		$453.71	$747.04	$747.04
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $438.52 / $514.00 / $933.80	Professional		$438.52	$514.00	$933.80