Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.82 / $5,153.00 / $16,125.00	Facility		$557.82	$5,153.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $362.86 / $1,020.15	Professional		$233.74	$362.86	$1,020.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,202.03 / $1,202.03 / $1,202.03	Professional		$1,202.03	$1,202.03	$1,202.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,849.00 / $11,400.00	Facility		$2,143.00	$5,849.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.92 / $368.11 / $826.18	Professional		$238.92	$368.11	$826.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $227.72 / $344.85 / $709.84	Professional		$227.72	$344.85	$709.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.61 / $404.72 / $742.43	Professional		$262.61	$404.72	$742.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $289.58 / $390.02 / $564.53	Professional		$289.58	$390.02	$564.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.32 / $411.34 / $736.79	Professional		$260.32	$411.34	$736.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,775.40 / $1,804.02 / $16,394.00	Facility		$1,775.40	$1,804.02	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $118.23 / $127.70 / $127.70	Facility	AS	$118.23	$127.70	$127.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.56 / $2,824.64 / $3,286.43	Professional		$1,884.56	$2,824.64	$3,286.43
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 $253.41 / $373.79 / $588.27	Facility		$253.41	$373.79	$588.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $128.97 / $128.97 / $128.97	Facility	AS	$128.97	$128.97	$128.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.50 / $421.42 / $787.44	Professional		$265.50	$421.42	$787.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $862.23 / $862.23 / $1,317.84	Professional		$862.23	$862.23	$1,317.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $380.07 / $522.60	Professional		$233.77	$380.07	$522.60
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,523.00 / $5,691.00	Facility		$587.00	$1,523.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.49 / $394.73 / $885.16	Professional		$308.49	$394.73	$885.16