Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $4,848.00 / $16,196.79	Facility		$694.00	$4,848.00	$16,196.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.16 / $635.44 / $1,170.27	Professional		$346.16	$635.44	$1,170.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.87 / $667.75 / $1,580.96	Professional		$333.87	$667.75	$1,580.96
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 $345.72 / $632.16 / $1,404.45	Professional		$345.72	$632.16	$1,404.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $310.93 / $569.45 / $1,147.61	Professional		$310.93	$569.45	$1,147.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.13 / $666.44 / $1,339.49	Professional		$367.13	$666.44	$1,339.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $399.99 / $577.07 / $1,021.97	Professional		$399.99	$577.07	$1,021.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.76 / $702.65 / $1,294.41	Professional		$354.76	$702.65	$1,294.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,421.06 / $2,472.60	Facility		$55.00	$2,421.06	$2,472.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.76 / $4,929.52 / $5,706.00	Professional		$2,581.76	$4,929.52	$5,706.00
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 $347.88 / $588.90 / $1,032.68	Facility		$347.88	$588.90	$1,032.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $694.00 / $1,345.49	Professional		$371.73	$694.00	$1,345.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,188.67 / $1,188.67 / $2,202.08	Professional		$1,188.67	$1,188.67	$2,202.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.06 / $688.46 / $946.63	Professional		$323.06	$688.46	$946.63
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,691.00	Facility		$587.00	$1,533.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.68 / $677.05 / $1,512.85	Professional		$508.68	$677.05	$1,512.85