Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.07 / $2,424.75 / $5,347.98	Facility		$719.07	$2,424.75	$5,347.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $719.07 / $3,146.28	Professional		$455.72	$719.07	$3,146.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $455.72 / $455.72	Professional		$455.72	$455.72	$455.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,312.39 / $3,744.48	Facility		$353.00	$1,312.39	$3,744.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.81 / $2,756.02 / $5,825.92	Professional		$303.81	$2,756.02	$5,825.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $549.14 / $2,141.87	Facility		$92.60	$549.14	$2,141.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $421.46 / $1,060.23	Professional		$295.02	$421.46	$1,060.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $997.25 / $2,542.50	Facility		$493.69	$997.25	$2,542.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.55 / $747.38 / $1,467.36	Professional		$402.55	$747.38	$1,467.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $835.48 / $1,215.25	Professional		$759.53	$835.48	$1,215.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.62 / $835.48 / $1,670.97	Professional		$607.62	$835.48	$1,670.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,901.00 / $3,607.77 / $3,607.77	Facility		$2,901.00	$3,607.77	$3,607.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,797.65 / $3,797.65 / $5,696.48	Professional		$3,797.65	$3,797.65	$5,696.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.76 / $379.76 / $531.67	Professional		$379.76	$379.76	$531.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $797.51 / $1,813.68	Facility		$531.66	$797.51	$1,813.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $759.53 / $1,519.06	Professional		$444.33	$759.53	$1,519.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,665.95 / $2,665.95 / $2,665.95	Professional		$2,665.95	$2,665.95	$2,665.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $607.62 / $607.62 / $759.53	Professional		$607.62	$607.62	$759.53
United Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $319.00 / $1,677.04	Professional		$38.72	$319.00	$1,677.04