Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,888.44 / $16,218.10	Facility		$741.31	$5,888.44	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $1,479.11	Professional		$245.47	$489.78	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $524.81	Professional		$229.09	$478.63	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,230.27	Professional		$426.58	$588.84	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $741.31 / $8,709.64	Facility		$66.07	$741.31	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,230.27	Professional		$398.11	$575.44	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $933.25	Professional		$346.74	$537.03	$933.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $676.08	Professional		$251.19	$331.13	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $870.96	Professional		$257.04	$489.78	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $45,708.82 / $45,708.82	Facility		$2,187.76	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $3,890.45	Professional		$3,388.44	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $660.69	Professional		$398.11	$398.11	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $758.58	Facility		$269.15	$489.78	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $954.99	Professional		$338.84	$549.54	$954.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,584.89	Professional		$1,000.00	$1,000.00	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $537.03	Professional		$251.19	$354.81	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $831.76	Professional		$263.03	$446.68	$831.76