Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,505.00 / $17,380.00	Facility		$709.00	$6,505.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.56 / $646.97 / $1,693.11	Professional		$494.56	$646.97	$1,693.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $639.88 / $639.88 / $639.88	Professional		$639.88	$639.88	$639.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,007.00 / $13,707.00	Facility		$2,675.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.45 / $666.13 / $1,403.66	Professional		$495.45	$666.13	$1,403.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $8,427.70	Facility		$66.09	$100.00	$8,427.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $414.41 / $592.01 / $1,373.32	Professional		$414.41	$592.01	$1,373.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.19 / $761.82 / $1,567.57	Professional		$555.19	$761.82	$1,567.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $782.21 / $1,171.68	Professional		$253.16	$782.21	$1,171.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.48 / $801.15 / $1,369.51	Professional		$573.48	$801.15	$1,369.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,919.32 / $5,564.75 / $26,542.00	Facility		$3,919.32	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,135.35 / $5,111.20 / $5,970.68	Professional		$4,135.35	$5,111.20	$5,970.68
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 $547.99 / $734.87 / $1,055.38	Facility		$547.99	$734.87	$1,055.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $571.95 / $798.61 / $1,582.34	Professional		$571.95	$798.61	$1,582.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,841.57 / $1,841.57 / $2,292.38	Professional		$1,841.57	$1,841.57	$2,292.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $283.54 / $478.89 / $788.97	Professional		$283.54	$478.89	$788.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.79 / $714.16 / $1,786.64	Professional		$533.79	$714.16	$1,786.64