Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.56 / $2,786.00 / $14,472.00	Facility		$358.56	$2,786.00	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.33 / $285.64 / $931.21	Professional		$176.33	$285.64	$931.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $292.39 / $323.43	Professional		$126.80	$292.39	$323.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $270.67 / $607.77	Professional		$184.66	$270.67	$607.77
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 $170.43 / $243.47 / $526.12	Professional		$170.43	$243.47	$526.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $312.33 / $639.51	Professional		$204.34	$312.33	$639.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $269.74 / $468.74	Professional		$99.03	$269.74	$468.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.23 / $339.87 / $602.00	Professional		$203.23	$339.87	$602.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,372.98 / $1,401.12	Facility		$55.00	$1,372.98	$1,401.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.64 / $2,265.84 / $2,635.95	Professional		$1,454.64	$2,265.84	$2,635.95
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 $182.74 / $280.18 / $465.62	Facility		$182.74	$280.18	$465.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.40 / $323.67 / $639.51	Professional		$204.40	$323.67	$639.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $657.86 / $657.86 / $1,010.09	Professional		$657.86	$657.86	$1,010.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $187.33 / $355.19	Professional		$110.92	$187.33	$355.19
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.31 / $294.77 / $759.06	Professional		$229.31	$294.77	$759.06