Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.57 / $4,848.00 / $16,573.00	Facility		$347.57	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.55 / $330.76 / $1,762.87	Professional		$280.55	$330.76	$1,762.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $448.59 / $448.59 / $448.59	Professional		$448.59	$448.59	$448.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.73 / $453.17 / $911.84	Professional		$347.73	$453.17	$911.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,403.01	Facility		$66.00	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $264.32 / $375.06 / $860.37	Professional		$264.32	$375.06	$860.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.91 / $424.16 / $900.75	Professional		$325.91	$424.16	$900.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.15 / $456.44 / $616.19	Professional		$151.15	$456.44	$616.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $473.66 / $827.51	Professional		$352.92	$473.66	$827.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,393.94 / $2,434.02 / $12,000.00	Facility		$2,393.94	$2,434.02	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.44 / $2,749.68 / $3,219.15	Professional		$2,507.44	$2,749.68	$3,219.15
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 $335.20 / $454.92 / $620.63	Facility		$335.20	$454.92	$620.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.29 / $452.23 / $921.01	Professional		$332.29	$452.23	$921.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,093.83 / $1,093.83 / $1,171.98	Professional		$1,093.83	$1,093.83	$1,171.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $338.18 / $506.87	Professional		$169.29	$338.18	$506.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $362.91 / $805.15	Professional		$277.02	$362.91	$805.15