Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $4,696.24 / $16,125.00	Facility		$927.00	$4,696.24	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.98 / $710.29 / $2,227.54	Professional		$543.98	$710.29	$2,227.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $621.96 / $745.44 / $778.31	Professional		$621.96	$745.44	$778.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.62 / $742.47 / $1,620.25	Professional		$560.62	$742.47	$1,620.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $6,814.63	Facility		$66.09	$100.00	$6,814.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $459.87 / $656.95 / $1,566.04	Professional		$459.87	$656.95	$1,566.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.01 / $835.30 / $1,729.91	Professional		$608.01	$835.30	$1,729.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $851.53 / $1,254.91	Professional		$337.30	$851.53	$1,254.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $627.09 / $870.44 / $1,498.17	Professional		$627.09	$870.44	$1,498.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,308.12 / $5,564.75 / $16,394.00	Facility		$4,308.12	$5,564.75	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,557.35 / $5,540.32 / $6,432.90	Professional		$4,557.35	$5,540.32	$6,432.90
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 $627.09 / $836.21 / $1,186.16	Facility		$627.09	$836.21	$1,186.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $631.70 / $866.50 / $1,746.05	Professional		$631.70	$866.50	$1,746.05
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,127.00 / $3,127.00 / $3,127.00	Facility		$3,127.00	$3,127.00	$3,127.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,044.18 / $2,044.18 / $2,492.59	Professional		$2,044.18	$2,044.18	$2,492.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $377.78 / $598.12 / $845.00	Professional		$377.78	$598.12	$845.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,218.00 / $9,131.00	Facility		$2,348.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.12 / $776.16 / $1,705.79	Professional		$582.12	$776.16	$1,705.79