Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.23 / $6,218.00 / $17,030.00	Facility		$2,108.23	$6,218.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.32 / $388.50 / $1,639.11	Professional		$282.32	$388.50	$1,639.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $310.83 / $430.56	Professional		$223.38	$310.83	$430.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.20 / $487.45 / $968.15	Professional		$389.20	$487.45	$968.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $7,602.09	Facility		$66.90	$100.00	$7,602.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $301.95 / $431.39 / $946.52	Professional		$301.95	$431.39	$946.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.45 / $468.91 / $966.58	Professional		$350.45	$468.91	$966.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $436.46 / $589.22	Professional		$185.41	$436.46	$589.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.66 / $478.54 / $854.72	Professional		$349.66	$478.54	$854.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.16 / $4,754.80 / $26,542.00	Facility		$1,320.16	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,571.36 / $2,616.88 / $3,043.65	Professional		$2,571.36	$2,616.88	$3,043.65
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 $379.40 / $487.39 / $659.95	Facility		$379.40	$487.39	$659.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $492.09 / $937.17	Professional		$354.68	$492.09	$937.17
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,740.00 / $3,740.00 / $3,740.00	Facility		$3,740.00	$3,740.00	$3,740.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,118.08 / $1,118.08 / $1,118.08	Professional		$1,118.08	$1,118.08	$1,118.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $241.03 / $352.56 / $484.77	Professional		$241.03	$352.56	$484.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.68 / $360.25 / $768.10	Professional		$266.68	$360.25	$768.10