Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,829.00 / $16,713.00	Facility		$550.00	$5,829.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $373.62 / $1,415.77	Professional		$261.42	$373.62	$1,415.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.26 / $355.26 / $778.02	Professional		$355.26	$355.26	$778.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $394.57 / $776.02	Professional		$275.33	$394.57	$776.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $285.05 / $614.10	Professional		$199.54	$285.05	$614.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.76 / $460.34 / $970.69	Professional		$226.76	$460.34	$970.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $430.02 / $858.65	Professional		$121.00	$430.02	$858.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $556.16 / $970.39	Professional		$340.89	$556.16	$970.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,557.32 / $1,687.49 / $16,394.00	Facility		$1,557.32	$1,687.49	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,396.48 / $3,670.48 / $4,372.95	Professional		$2,396.48	$3,670.48	$4,372.95
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 $224.74 / $460.27 / $776.95	Facility		$224.74	$460.27	$776.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $495.70 / $1,066.46	Professional		$231.40	$495.70	$1,066.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,064.83 / $1,064.83 / $1,659.89	Professional		$1,064.83	$1,064.83	$1,659.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $355.00 / $706.54	Professional		$169.40	$355.00	$706.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $451.85 / $1,101.93	Professional		$301.35	$451.85	$1,101.93