Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.96 / $4,749.00 / $16,125.00	Facility		$360.96	$4,749.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $332.37 / $1,113.86	Professional		$166.60	$332.37	$1,113.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.93 / $192.33 / $446.36	Professional		$155.93	$192.33	$446.36
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 $237.65 / $333.10 / $726.57	Professional		$237.65	$333.10	$726.57
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 $220.65 / $315.20 / $676.11	Professional		$220.65	$315.20	$676.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.82 / $388.19 / $781.15	Professional		$253.82	$388.19	$781.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $320.95 / $571.75	Professional		$129.19	$320.95	$571.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.73 / $415.92 / $736.89	Professional		$244.73	$415.92	$736.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,658.40 / $2,165.76 / $16,394.00	Facility		$1,658.40	$2,165.76	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,757.92 / $2,783.84 / $3,241.28	Professional		$1,757.92	$2,783.84	$3,241.28
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 $241.76 / $348.36 / $569.80	Facility		$241.76	$348.36	$569.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.42 / $407.24 / $790.13	Professional		$259.42	$407.24	$790.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $803.71 / $803.71 / $1,292.99	Professional		$803.71	$803.71	$1,292.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $228.08 / $433.20	Professional		$144.69	$228.08	$433.20
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 $288.86 / $388.82 / $888.42	Professional		$288.86	$388.82	$888.42