Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $5,153.00 / $16,573.00	Facility		$328.38	$5,153.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.34 / $301.75 / $839.61	Professional		$188.34	$301.75	$839.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $142.12 / $351.12	Professional		$142.12	$142.12	$351.12
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 $211.72 / $298.56 / $662.58	Professional		$211.72	$298.56	$662.58
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 $202.27 / $288.95 / $598.34	Professional		$202.27	$288.95	$598.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.22 / $353.15 / $710.43	Professional		$239.22	$353.15	$710.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.16 / $311.54 / $525.55	Professional		$116.16	$311.54	$525.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.15 / $382.17 / $675.20	Professional		$234.15	$382.17	$675.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,580.34 / $2,000.00 / $16,394.00	Facility		$1,580.34	$2,000.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.36 / $2,541.84 / $2,958.38	Professional		$1,673.36	$2,541.84	$2,958.38
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 $217.91 / $323.32 / $525.55	Facility		$217.91	$323.32	$525.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.11 / $372.14 / $722.94	Professional		$243.11	$372.14	$722.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $765.72 / $765.72 / $1,181.66	Professional		$765.72	$765.72	$1,181.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $218.83 / $398.25	Professional		$130.10	$218.83	$398.25
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 $263.64 / $344.76 / $812.86	Professional		$263.64	$344.76	$812.86