Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.50 / $5,382.00 / $16,713.00	Facility		$442.50	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.99 / $396.84 / $2,028.95	Professional		$320.99	$396.84	$2,028.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $481.78 / $481.78 / $481.78	Professional		$481.78	$481.78	$481.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.41 / $512.19 / $1,030.58	Professional		$396.41	$512.19	$1,030.58
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 $307.77 / $429.97 / $982.04	Professional		$307.77	$429.97	$982.04
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 $370.51 / $492.17 / $1,029.34	Professional		$370.51	$492.17	$1,029.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.65 / $547.53 / $751.90	Professional		$203.65	$547.53	$751.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.61 / $571.73 / $980.61	Professional		$422.61	$571.73	$980.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,921.00 / $2,117.21 / $16,394.00	Facility		$1,921.00	$2,117.21	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,964.08 / $3,336.56 / $3,889.58	Professional		$2,964.08	$3,336.56	$3,889.58
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 $367.61 / $540.04 / $737.09	Facility		$367.61	$540.04	$737.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.91 / $528.32 / $1,070.73	Professional		$371.91	$528.32	$1,070.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,258.91 / $1,258.91 / $1,388.75	Professional		$1,258.91	$1,258.91	$1,388.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $285.11 / $449.88 / $618.59	Professional		$285.11	$449.88	$618.59
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,523.00 / $6,920.00	Facility		$570.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.02 / $423.50 / $921.86	Professional		$327.02	$423.50	$921.86