Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.88 / $4,363.00 / $15,877.00	Facility		$419.88	$4,363.00	$15,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.97 / $436.63 / $1,761.80	Professional		$184.97	$436.63	$1,761.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.25 / $406.24 / $822.71	Professional		$371.25	$406.24	$822.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.62 / $378.11 / $841.52	Professional		$183.62	$378.11	$841.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,177.85	Facility		$65.80	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.48 / $333.86 / $653.42	Professional		$165.48	$333.86	$653.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $393.31 / $791.74	Professional		$195.52	$393.31	$791.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $348.47 / $624.60	Professional		$212.97	$348.47	$624.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.05 / $425.92 / $787.15	Professional		$189.05	$425.92	$787.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $855.32 / $932.33	Facility		$55.00	$855.32	$932.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.52 / $2,973.60 / $3,454.20	Professional		$1,551.52	$2,973.60	$3,454.20
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 $185.29 / $341.22 / $631.20	Facility		$185.29	$341.22	$631.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.84 / $410.56 / $811.37	Professional		$197.84	$410.56	$811.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $633.41 / $633.41 / $1,324.65	Professional		$633.41	$633.41	$1,324.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $420.80 / $578.60	Professional		$172.01	$420.80	$578.60
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.10 / $397.79 / $912.30	Professional		$305.10	$397.79	$912.30