Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.03 / $5,679.00 / $16,210.00	Facility		$375.03	$5,679.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $123.54 / $468.29	Professional		$86.57	$123.54	$468.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.86 / $214.86 / $214.86	Professional		$214.86	$214.86	$214.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $120.07 / $265.92	Professional		$84.57	$120.07	$265.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $125.97 / $262.41	Professional		$88.18	$125.97	$262.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $146.69 / $302.94	Professional		$101.85	$146.69	$302.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $154.80 / $217.16	Professional		$64.41	$154.80	$217.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $162.46 / $276.14	Professional		$111.79	$162.46	$276.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $745.08 / $9,102.00 / $11,500.00	Facility		$745.08	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $785.44 / $1,026.40 / $1,196.40	Professional		$785.44	$1,026.40	$1,196.40
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 $97.33 / $144.00 / $217.16	Facility		$97.33	$144.00	$217.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $156.66 / $302.94	Professional		$102.97	$156.66	$302.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $342.05 / $342.05 / $465.87	Professional		$342.05	$342.05	$465.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $113.71 / $164.59	Professional		$72.14	$113.71	$164.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,753.00 / $7,655.00	Facility		$1,410.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $137.29 / $309.25	Professional		$105.40	$137.29	$309.25