Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.86 / $6,268.00 / $17,133.00	Facility		$679.86	$6,268.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.07 / $620.62 / $1,283.40	Professional		$428.07	$620.62	$1,283.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $464.57 / $464.57 / $464.57	Professional		$464.57	$464.57	$464.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.91 / $701.26 / $1,411.01	Professional		$559.91	$701.26	$1,411.01
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 $499.45 / $713.50 / $1,408.86	Professional		$499.45	$713.50	$1,408.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.73 / $769.03 / $1,376.53	Professional		$520.73	$769.03	$1,376.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $352.20 / $659.24 / $1,105.26	Professional		$352.20	$659.24	$1,105.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.62 / $764.07 / $1,279.67	Professional		$525.62	$764.07	$1,279.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,943.10 / $3,002.30 / $26,542.00	Facility		$2,943.10	$3,002.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,701.92 / $4,985.76 / $5,774.40	Professional		$3,701.92	$4,985.76	$5,774.40
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 $473.23 / $731.53 / $1,095.67	Facility		$473.23	$731.53	$1,095.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.91 / $813.57 / $1,511.08	Professional		$525.91	$813.57	$1,511.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,638.46 / $1,638.46 / $2,225.11	Professional		$1,638.46	$1,638.46	$2,225.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $483.70 / $661.19 / $909.14	Professional		$483.70	$661.19	$909.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.91 / $692.88 / $1,463.65	Professional		$525.91	$692.88	$1,463.65