Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.60 / $5,382.00 / $16,573.00	Facility		$501.60	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $467.30 / $898.59	Professional		$338.47	$467.30	$898.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.78 / $478.78 / $478.78	Professional		$478.78	$478.78	$478.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.69 / $488.96 / $1,093.08	Professional		$343.69	$488.96	$1,093.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,010.49	Facility		$65.90	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $320.14 / $457.34 / $994.72	Professional		$320.14	$457.34	$994.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.89 / $537.83 / $1,063.73	Professional		$387.89	$537.83	$1,063.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.43 / $524.91 / $718.25	Professional		$354.43	$524.91	$718.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.16 / $546.79 / $943.88	Professional		$390.16	$546.79	$943.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,647.86 / $6,817.20 / $16,394.00	Facility		$2,647.86	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,798.72 / $3,636.16 / $4,258.28	Professional		$2,798.72	$3,636.16	$4,258.28
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 $389.03 / $539.36 / $747.16	Facility		$389.03	$539.36	$747.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.16 / $565.79 / $1,107.98	Professional		$390.16	$565.79	$1,107.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,274.07 / $1,274.07 / $1,669.58	Professional		$1,274.07	$1,274.07	$1,669.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $354.43 / $496.20 / $670.45	Professional		$354.43	$496.20	$670.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.39 / $515.10 / $1,132.10	Professional		$393.39	$515.10	$1,132.10