Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.33 / $5,382.00 / $16,713.00	Facility		$555.33	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.22 / $375.70 / $1,029.06	Professional		$188.22	$375.70	$1,029.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $359.42 / $419.33	Professional		$170.21	$359.42	$419.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $6,797.00 / $13,707.00	Facility		$2,675.00	$6,797.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.20 / $380.62 / $829.45	Professional		$274.20	$380.62	$829.45
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 $250.37 / $357.67 / $786.00	Professional		$250.37	$357.67	$786.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.66 / $438.50 / $858.08	Professional		$293.66	$438.50	$858.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $367.39 / $618.54	Professional		$163.44	$367.39	$618.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.55 / $451.41 / $799.93	Professional		$280.55	$451.41	$799.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.36 / $2,165.76 / $26,542.00	Facility		$1,902.36	$2,165.76	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,017.60 / $2,321.03 / $5,940.86	Professional		$2,017.60	$2,321.03	$5,940.86
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 $287.13 / $398.25 / $618.54	Facility		$287.13	$398.25	$618.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $454.07 / $859.31	Professional		$298.95	$454.07	$859.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $922.43 / $922.43 / $1,408.10	Professional		$922.43	$922.43	$1,408.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.47 / $294.19 / $572.77	Professional		$212.47	$294.19	$572.77
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,493.00 / $6,316.00	Facility		$570.00	$1,493.00	$6,316.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $408.21 / $936.30	Professional		$318.33	$408.21	$936.30