Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.89 / $5,505.00 / $15,795.00	Facility		$395.89	$5,505.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $274.62 / $1,185.00	Professional		$200.71	$274.62	$1,185.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $292.88 / $306.00	Professional		$155.63	$292.88	$306.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.76 / $278.79 / $610.35	Professional		$201.76	$278.79	$610.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $6,881.37	Facility		$65.90	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $235.90 / $524.08	Professional		$165.13	$235.90	$524.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $327.79 / $649.44	Professional		$230.47	$327.79	$649.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.22 / $331.99 / $461.54	Professional		$193.22	$331.99	$461.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.77 / $355.89 / $620.23	Professional		$253.77	$355.89	$620.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.56 / $4,017.35 / $16,394.00	Facility		$1,163.56	$4,017.35	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $2,298.64 / $2,716.73	Professional		$1,800.00	$2,298.64	$2,716.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.79 / $316.62 / $465.79	Facility		$230.79	$316.62	$465.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.36 / $340.23 / $661.79	Professional		$232.36	$340.23	$661.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $799.11 / $799.11 / $1,037.14	Professional		$799.11	$799.11	$1,037.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $216.41 / $310.64 / $427.14	Professional		$216.41	$310.64	$427.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.82 / $311.82 / $783.38	Professional		$235.82	$311.82	$783.38