Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.92 / $6,136.00 / $17,054.00	Facility		$925.92	$6,136.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.22 / $856.38 / $2,251.67	Professional		$691.22	$856.38	$2,251.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $848.95 / $848.95 / $848.95	Professional		$848.95	$848.95	$848.95
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 $686.00 / $898.56 / $1,900.57	Professional		$686.00	$898.56	$1,900.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $526.42 / $752.04 / $1,795.47	Professional		$526.42	$752.04	$1,795.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.79 / $1,013.64 / $2,120.15	Professional		$752.79	$1,013.64	$2,120.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $1,092.32 / $1,528.90	Professional		$337.30	$1,092.32	$1,528.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $800.78 / $1,101.51 / $1,914.80	Professional		$800.78	$1,101.51	$1,914.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,489.16 / $5,607.06 / $26,542.00	Facility		$5,489.16	$5,607.06	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,798.24 / $6,747.84 / $7,852.73	Professional		$5,798.24	$6,747.84	$7,852.73
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 $743.79 / $1,013.93 / $1,412.78	Facility		$743.79	$1,013.93	$1,412.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.40 / $1,064.36 / $2,158.60	Professional		$758.40	$1,064.36	$2,158.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,607.03 / $2,607.03 / $3,062.65	Professional		$2,607.03	$2,607.03	$3,062.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $767.27 / $1,258.22	Professional		$438.49	$767.27	$1,258.22
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 $706.04 / $937.05 / $2,097.44	Professional		$706.04	$937.05	$2,097.44