Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.54 / $4,420.00 / $16,109.00	Facility		$344.54	$4,420.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.94 / $317.07 / $1,067.24	Professional		$241.94	$317.07	$1,067.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $594.54 / $594.54 / $594.54	Professional		$594.54	$594.54	$594.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $347.60 / $745.66	Professional		$258.14	$347.60	$745.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $249.19 / $355.98 / $819.98	Professional		$249.19	$355.98	$819.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.50 / $380.50 / $766.28	Professional		$282.50	$380.50	$766.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $381.49 / $510.98	Professional		$185.41	$381.49	$510.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.67 / $392.49 / $723.17	Professional		$281.67	$392.49	$723.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,301.44 / $1,418.92	Facility		$55.00	$1,301.44	$1,418.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,026.48 / $2,515.60 / $2,915.03	Professional		$2,026.48	$2,515.60	$2,915.03
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 $272.80 / $384.50 / $537.46	Facility		$272.80	$384.50	$537.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $398.75 / $786.84	Professional		$284.33	$398.75	$786.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $901.75 / $901.75 / $1,127.76	Professional		$901.75	$901.75	$1,127.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.65 / $303.95 / $420.86	Professional		$207.65	$303.95	$420.86
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.44 / $350.79 / $772.55	Professional		$262.44	$350.79	$772.55