Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $5,422.00 / $16,109.00	Facility		$1,038.00	$5,422.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.02 / $501.02 / $4,895.00	Professional		$195.02	$501.02	$4,895.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.17 / $174.17 / $174.17	Professional		$174.17	$174.17	$174.17
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 $195.16 / $260.07 / $538.12	Professional		$195.16	$260.07	$538.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,485.17	Facility		$65.80	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $250.00 / $572.10	Professional		$175.00	$250.00	$572.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.11 / $268.23 / $596.35	Professional		$211.11	$268.23	$596.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $234.41 / $284.25	Professional		$189.50	$234.41	$284.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $266.89 / $489.88	Professional		$193.00	$266.89	$489.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $538.25 / $1,041.39	Facility		$55.00	$538.25	$1,041.39
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $383.65 / $778.71 / $833.11	Facility	52	$383.65	$778.71	$833.11
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $47.96 / $97.34 / $104.14	Facility	AS	$47.96	$97.34	$104.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.80 / $1,569.76 / $1,805.93	Professional		$1,534.80	$1,569.76	$1,805.93
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 $195.95 / $255.59 / $339.89	Facility		$195.95	$255.59	$339.89
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $81.45 / $81.45 / $81.45	Facility	80	$81.45	$81.45	$81.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.23 / $69.23 / $69.23	Facility	AS	$69.23	$69.23	$69.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $277.49 / $569.65	Professional		$213.51	$277.49	$569.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $705.40 / $705.40 / $705.40	Professional		$705.40	$705.40	$705.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $260.02 / $322.14	Professional		$189.10	$260.02	$322.14
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $229.24 / $477.53	Professional		$172.80	$229.24	$477.53