Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,111.00 / $4,420.00	Facility		$500.00	$2,111.00	$4,420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.23 / $500.00 / $3,390.27	Professional		$434.23	$500.00	$3,390.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $435.52 / $435.52 / $521.58	Professional		$435.52	$435.52	$521.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.91 / $2,249.69 / $4,913.14	Facility		$337.91	$2,249.69	$4,913.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $2,756.02 / $5,825.92	Professional		$288.83	$2,756.02	$5,825.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $422.88 / $1,649.42	Facility		$92.60	$422.88	$1,649.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $362.52 / $517.89 / $1,284.36	Professional		$362.52	$517.89	$1,284.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.61 / $1,056.93 / $2,542.33	Facility		$429.61	$1,056.93	$2,542.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $587.89 / $1,872.96	Professional		$380.19	$587.89	$1,872.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $1,303.95 / $1,760.33	Professional		$584.90	$1,303.95	$1,760.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.16 / $1,434.35 / $2,281.91	Professional		$1,043.16	$1,434.35	$2,281.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,194.68 / $6,193.76 / $6,193.76	Facility		$3,194.68	$6,193.76	$6,193.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $651.97 / $651.97 / $912.76	Professional		$651.97	$651.97	$912.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,144.36 / $1,957.98	Facility		$500.00	$1,144.36	$1,957.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.61 / $687.83 / $1,564.74	Professional		$388.61	$687.83	$1,564.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,052.98 / $2,052.98 / $2,052.98	Professional		$2,052.98	$2,052.98	$2,052.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $596.60 / $1,043.16 / $1,303.95	Professional		$596.60	$1,043.16	$1,303.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $1,564.87	Professional		$245.66	$350.94	$1,564.87