Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.04 / $5,227.00 / $16,573.00	Facility		$316.04	$5,227.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.71 / $290.22 / $589.51	Professional		$196.71	$290.22	$589.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.86 / $272.86 / $333.81	Professional		$272.86	$272.86	$333.81
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 $197.98 / $285.51 / $633.13	Professional		$197.98	$285.51	$633.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.99 / $278.56 / $574.20	Professional		$194.99	$278.56	$574.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.26 / $333.24 / $679.23	Professional		$212.26	$333.24	$679.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $267.75 / $505.76	Professional		$110.57	$267.75	$505.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.34 / $360.18 / $641.29	Professional		$203.34	$360.18	$641.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $934.96 / $2,165.76 / $16,394.00	Facility		$934.96	$2,165.76	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.52 / $2,438.08 / $2,844.00	Professional		$1,457.52	$2,438.08	$2,844.00
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 $189.17 / $293.02 / $502.04	Facility		$189.17	$293.02	$502.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.57 / $354.21 / $694.20	Professional		$215.57	$354.21	$694.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $663.95 / $663.95 / $1,133.99	Professional		$663.95	$663.95	$1,133.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $195.22 / $383.24	Professional		$123.84	$195.22	$383.24
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,523.00 / $5,691.00	Facility		$570.00	$1,523.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.72 / $330.48 / $834.18	Professional		$252.72	$330.48	$834.18