Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $5,815.00 / $16,756.00	Facility		$530.00	$5,815.00	$16,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.74 / $368.56 / $1,142.76	Professional		$211.74	$368.56	$1,142.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.07 / $388.02 / $391.63	Professional		$345.07	$388.02	$391.63
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 $245.02 / $353.41 / $792.36	Professional		$245.02	$353.41	$792.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $232.09 / $331.55 / $690.76	Professional		$232.09	$331.55	$690.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $407.61 / $815.67	Professional		$261.58	$407.61	$815.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $331.94 / $588.16	Professional		$129.56	$331.94	$588.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.89 / $425.98 / $754.48	Professional		$249.89	$425.98	$754.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,151.83 / $2,865.35 / $26,542.00	Facility		$1,151.83	$2,865.35	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.60 / $2,834.96 / $3,300.38	Professional		$1,787.60	$2,834.96	$3,300.38
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 $236.70 / $353.45 / $588.16	Facility		$236.70	$353.45	$588.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.37 / $431.85 / $838.21	Professional		$266.37	$431.85	$838.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $819.11 / $819.11 / $1,332.43	Professional		$819.11	$819.11	$1,332.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $233.15 / $445.70	Professional		$145.11	$233.15	$445.70
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,493.00 / $5,691.00	Facility		$570.00	$1,493.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.67 / $399.35 / $917.13	Professional		$302.67	$399.35	$917.13