Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.59 / $5,987.00 / $17,809.00	Facility		$1,038.59	$5,987.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.83 / $575.47 / $2,257.67	Professional		$357.83	$575.47	$2,257.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.70 / $533.01 / $981.69	Professional		$251.70	$533.01	$981.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.57 / $600.00 / $1,207.27	Professional		$436.57	$600.00	$1,207.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $7,680.36	Facility		$66.90	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $336.25 / $518.88 / $1,020.04	Professional		$336.25	$518.88	$1,020.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.78 / $656.40 / $1,206.59	Professional		$424.78	$656.40	$1,206.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $540.38 / $986.65	Professional		$151.90	$540.38	$986.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.61 / $656.20 / $1,137.27	Professional		$430.61	$656.20	$1,137.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,903.40 / $2,965.02 / $26,542.00	Facility		$2,903.40	$2,965.02	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $193.77 / $212.92 / $212.92	Facility	AS	$193.77	$212.92	$212.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,057.76 / $4,303.20 / $5,073.75	Professional		$3,057.76	$4,303.20	$5,073.75
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 $327.76 / $594.89 / $948.75	Facility		$327.76	$594.89	$948.75
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $231.01 / $231.01 / $231.01	Facility	80	$231.01	$231.01	$231.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $196.36	Facility	AS	$71.40	$71.40	$196.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.48 / $703.33 / $1,354.54	Professional		$429.48	$703.33	$1,354.54
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $3,960.00	Facility		$3,960.00	$3,960.00	$3,960.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,372.76 / $1,372.76 / $2,029.14	Professional		$1,372.76	$1,372.76	$2,029.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.66 / $446.17 / $811.84	Professional		$212.66	$446.17	$811.84
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 $464.19 / $615.65 / $1,346.94	Professional		$464.19	$615.65	$1,346.94