Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.40 / $5,576.00 / $16,292.09	Facility		$572.40	$5,576.00	$16,292.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.75 / $399.63 / $1,618.11	Professional		$274.75	$399.63	$1,618.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $412.41 / $412.41	Professional		$158.76	$412.41	$412.41
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 $267.83 / $389.40 / $869.02	Professional		$267.83	$389.40	$869.02
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 $240.79 / $343.99 / $742.14	Professional		$240.79	$343.99	$742.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.68 / $450.92 / $896.57	Professional		$295.68	$450.92	$896.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $408.85 / $645.84	Professional		$227.10	$408.85	$645.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $482.08 / $843.64	Professional		$317.52	$482.08	$843.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,469.96 / $4,017.35 / $16,394.00	Facility		$1,469.96	$4,017.35	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,271.76 / $3,221.36 / $3,791.10	Professional		$2,271.76	$3,221.36	$3,791.10
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 $289.70 / $416.29 / $645.84	Facility		$289.70	$416.29	$645.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.30 / $471.38 / $912.08	Professional		$297.30	$471.38	$912.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,030.90 / $1,030.90 / $1,470.89	Professional		$1,030.90	$1,030.90	$1,470.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.93 / $394.53 / $597.74	Professional		$286.93	$394.53	$597.74
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 $336.79 / $435.54 / $968.98	Professional		$336.79	$435.54	$968.98