Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $5,544.04 / $16,713.00	Facility		$655.00	$5,544.04	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $473.17 / $1,077.63	Professional		$259.58	$473.17	$1,077.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $245.84	Professional		$245.84	$245.84	$245.84
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 $368.66 / $523.38 / $1,137.27	Professional		$368.66	$523.38	$1,137.27
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 $334.14 / $477.34 / $1,067.73	Professional		$334.14	$477.34	$1,067.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.09 / $545.50 / $1,024.78	Professional		$371.09	$545.50	$1,024.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $459.65 / $721.82	Professional		$337.30	$459.65	$721.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.80 / $534.53 / $935.43	Professional		$336.80	$534.53	$935.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,286.78 / $2,340.42 / $26,542.00	Facility		$2,286.78	$2,340.42	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,550.00 / $3,564.16 / $4,128.89	Professional		$2,550.00	$3,564.16	$4,128.89
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 $365.12 / $553.02 / $777.06	Facility		$365.12	$553.02	$777.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $379.08 / $578.00 / $1,125.53	Professional		$379.08	$578.00	$1,125.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,111.88 / $1,111.88 / $1,667.28	Professional		$1,111.88	$1,111.88	$1,667.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $486.10 / $668.39	Professional		$337.30	$486.10	$668.39
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,691.00	Facility		$587.00	$1,533.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.69 / $516.96 / $1,142.73	Professional		$388.69	$516.96	$1,142.73