Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.99 / $2,704.00 / $13,290.00	Facility		$369.99	$2,704.00	$13,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.98 / $289.33 / $1,115.58	Professional		$166.98	$289.33	$1,115.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.63 / $283.86 / $536.38	Professional		$185.63	$283.86	$536.38
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 $164.72 / $261.18 / $610.91	Professional		$164.72	$261.18	$610.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $158.26 / $244.15 / $505.97	Professional		$158.26	$244.15	$505.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $310.60 / $616.77	Professional		$196.38	$310.60	$616.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $261.98 / $457.33	Professional		$91.59	$261.98	$457.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $330.05 / $584.41	Professional		$194.96	$330.05	$584.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $687.25 / $1,339.20	Facility		$373.00	$687.25	$1,339.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.92 / $2,186.80 / $2,544.00	Professional		$1,389.92	$2,186.80	$2,544.00
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 $171.36 / $270.20 / $457.33	Facility		$171.36	$270.20	$457.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $325.68 / $640.65	Professional		$196.43	$325.68	$640.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $628.73 / $628.73 / $1,005.00	Professional		$628.73	$628.73	$1,005.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $173.25 / $346.59	Professional		$102.58	$173.25	$346.59
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,523.00 / $5,830.00	Facility		$570.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.34 / $309.24 / $784.01	Professional		$223.34	$309.24	$784.01