Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.98 / $5,505.00 / $16,713.00	Facility		$550.98	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.11 / $501.07 / $1,291.71	Professional		$361.11	$501.07	$1,291.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $397.77 / $397.77 / $440.96	Professional		$397.77	$397.77	$440.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,720.00 / $10,404.00	Facility		$1,787.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.77 / $558.83 / $1,115.77	Professional		$442.77	$558.83	$1,115.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,929.19	Facility		$66.00	$100.00	$6,929.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $373.91 / $534.16 / $1,083.26	Professional		$373.91	$534.16	$1,083.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,360.35 / $4,227.49	Facility		$1,992.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.32 / $600.27 / $1,084.33	Professional		$406.32	$600.27	$1,084.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $459.42 / $636.13 / $907.08	Professional		$459.42	$636.13	$907.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.45 / $589.12 / $990.06	Professional		$399.45	$589.12	$990.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,838.64 / $1,981.04 / $16,394.00	Facility		$1,838.64	$1,981.04	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,829.76 / $4,415.85 / $4,825.49	Professional		$2,829.76	$4,415.85	$4,825.49
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 $429.56 / $613.09 / $878.22	Facility		$429.56	$613.09	$878.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.49 / $638.70 / $1,261.14	Professional		$414.49	$638.70	$1,261.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,762.78	Professional		$1,269.90	$1,269.90	$1,762.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $417.32 / $578.15 / $1,078.93	Professional		$417.32	$578.15	$1,078.93
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 $413.91 / $552.29 / $1,220.98	Professional		$413.91	$552.29	$1,220.98