Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,573.00	Facility		$462.00	$5,505.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $286.05 / $805.25	Professional		$192.63	$286.05	$805.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.36 / $269.36 / $269.36	Professional		$269.36	$269.36	$269.36
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 $198.91 / $296.63 / $649.94	Professional		$198.91	$296.63	$649.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,238.60	Facility		$65.90	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $187.37 / $267.67 / $553.79	Professional		$187.37	$267.67	$553.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.39 / $332.59 / $647.87	Professional		$227.39	$332.59	$647.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $230.83 / $315.76 / $460.62	Professional		$230.83	$315.76	$460.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.67 / $341.88 / $598.29	Professional		$230.67	$341.88	$598.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,560.84 / $9,102.00 / $11,500.00	Facility		$1,560.84	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.44 / $2,278.96 / $2,657.70	Professional		$1,651.44	$2,278.96	$2,657.70
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 $230.67 / $326.37 / $473.00	Facility		$230.67	$326.37	$473.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $347.15 / $659.57	Professional		$230.13	$347.15	$659.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $745.81 / $745.81 / $1,047.55	Professional		$745.81	$745.81	$1,047.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $230.83 / $323.16 / $436.64	Professional		$230.83	$323.16	$436.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $7,655.00	Facility		$1,410.00	$2,761.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.68 / $326.16 / $781.41	Professional		$236.68	$326.16	$781.41