Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $2,903.00 / $14,699.00	Facility		$261.00	$2,903.00	$14,699.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $66.41 / $294.11	Professional		$37.71	$66.41	$294.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $77.91 / $103.96	Professional		$51.93	$77.91	$103.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $73.02 / $134.65	Professional		$48.97	$73.02	$134.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $1,535.04	Facility		$66.90	$100.00	$1,535.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $66.17 / $123.35	Professional		$39.36	$66.17	$123.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.25 / $62.36 / $1,487.00	Facility		$62.25	$62.36	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $68.20 / $127.74	Professional		$43.08	$68.20	$127.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $56.22 / $87.04	Professional		$46.37	$56.22	$87.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $64.91 / $118.37	Professional		$41.40	$64.91	$118.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.71 / $203.78 / $5,000.00	Facility		$187.71	$203.78	$5,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $301.92 / $503.10 / $632.14	Professional		$301.92	$503.10	$632.14
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 $48.29 / $68.54 / $104.65	Facility		$48.29	$68.54	$104.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $73.06 / $151.06	Professional		$43.78	$73.06	$151.06
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $618.00 / $618.00	Facility		$618.00	$618.00	$618.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $141.50 / $210.02	Professional		$141.50	$141.50	$210.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $58.61 / $84.33	Professional		$42.01	$58.61	$84.33
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $63.70 / $141.22	Professional		$49.14	$63.70	$141.22