Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $5,308.00 / $16,713.00	Facility		$1,482.00	$5,308.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $552.40 / $2,590.00	Professional		$469.61	$552.40	$2,590.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $445.44 / $445.44 / $445.44	Professional		$445.44	$445.44	$445.44
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 $615.85 / $807.17 / $1,551.94	Professional		$615.85	$807.17	$1,551.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $392.37 / $560.53 / $1,254.85	Professional		$392.37	$560.53	$1,254.85
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 $536.75 / $671.86 / $1,458.06	Professional		$536.75	$671.86	$1,458.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $432.61 / $610.79 / $824.57	Professional		$432.61	$610.79	$824.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.12 / $684.66 / $1,242.46	Professional		$501.12	$684.66	$1,242.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,926.08 / $6,817.20	Facility		$55.00	$2,926.08	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $119.14 / $646.16 / $646.16	Facility	AS	$119.14	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,783.52 / $3,865.44 / $4,479.38	Professional		$3,783.52	$3,865.44	$4,479.38
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 $540.20 / $671.87 / $929.60	Facility		$540.20	$671.87	$929.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $168.84	Facility	AS	$58.83	$58.83	$168.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $536.75 / $698.81 / $1,410.75	Professional		$536.75	$698.81	$1,410.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,695.80 / $1,695.80 / $1,695.80	Professional		$1,695.80	$1,695.80	$1,695.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $493.05 / $648.91 / $818.34	Professional		$493.05	$648.91	$818.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,699.00 / $7,655.00	Facility		$1,410.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.71 / $552.78 / $1,157.17	Professional		$412.71	$552.78	$1,157.17