Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.23 / $4,976.00 / $16,210.00	Facility		$634.23	$4,976.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.12 / $577.54 / $1,480.65	Professional		$310.12	$577.54	$1,480.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $595.01 / $661.12 / $1,274.92	Professional		$595.01	$661.12	$1,274.92
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 $310.11 / $576.88 / $1,282.00	Professional		$310.11	$576.88	$1,282.00
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 $278.68 / $510.40 / $1,033.28	Professional		$278.68	$510.40	$1,033.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.99 / $614.83 / $1,255.05	Professional		$328.99	$614.83	$1,255.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $358.85 / $527.17 / $964.34	Professional		$358.85	$527.17	$964.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $661.12 / $1,219.23	Professional		$318.52	$661.12	$1,219.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,478.96 / $1,570.92	Facility		$55.00	$1,478.96	$1,570.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,417.98 / $4,628.80 / $5,367.83	Professional		$2,417.98	$4,628.80	$5,367.83
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 $312.20 / $543.36 / $974.47	Facility		$312.20	$543.36	$974.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.54 / $639.11 / $1,263.70	Professional		$333.54	$639.11	$1,263.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,066.02 / $1,066.02 / $2,066.21	Professional		$1,066.02	$1,066.02	$2,066.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $289.82 / $649.65 / $893.27	Professional		$289.82	$649.65	$893.27
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 $476.82 / $632.73 / $1,378.93	Professional		$476.82	$632.73	$1,378.93