Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $6,423.00 / $16,713.00	Facility		$1,188.00	$6,423.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $206.51 / $765.92	Professional		$138.10	$206.51	$765.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $108.58 / $108.58	Professional		$108.58	$108.58	$108.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $313.98 / $532.52	Professional		$196.76	$313.98	$532.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $269.70 / $515.75	Professional		$188.43	$269.70	$515.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,360.35 / $4,227.49	Facility		$1,992.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $253.43 / $470.27	Professional		$167.84	$253.43	$470.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $155.69 / $239.45	Professional		$126.58	$155.69	$239.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $179.44 / $324.67	Professional		$130.19	$179.44	$324.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $900.97 / $6,817.20 / $16,394.00	Facility		$900.97	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.08 / $1,687.48 / $1,743.17	Professional		$1,263.08	$1,687.48	$1,743.17
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 $159.50 / $201.06 / $347.02	Facility		$159.50	$201.06	$347.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $264.89 / $405.47	Professional		$169.38	$264.89	$405.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $475.23 / $475.23 / $475.23	Professional		$475.23	$475.23	$475.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $172.87 / $239.45	Professional		$126.58	$172.87	$239.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $197.52 / $349.55	Professional		$117.88	$197.52	$349.55