Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.29 / $4,848.00 / $16,573.00	Facility		$424.29	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.68 / $411.60 / $1,453.92	Professional		$341.68	$411.60	$1,453.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $225.55 / $225.55	Professional		$225.55	$225.55	$225.55
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 $433.93 / $543.47 / $1,093.54	Professional		$433.93	$543.47	$1,093.54
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 $321.39 / $456.57 / $1,036.47	Professional		$321.39	$456.57	$1,036.47
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 $389.23 / $511.19 / $1,086.99	Professional		$389.23	$511.19	$1,086.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $419.58 / $553.02 / $746.58	Professional		$419.58	$553.02	$746.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.19 / $572.94 / $992.42	Professional		$423.19	$572.94	$992.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,951.12 / $2,142.73 / $12,000.00	Facility		$1,951.12	$2,142.73	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,007.76 / $3,337.28 / $3,877.13	Professional		$3,007.76	$3,337.28	$3,877.13
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 $389.92 / $550.02 / $746.58	Facility		$389.92	$550.02	$746.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.63 / $545.76 / $1,113.57	Professional		$395.63	$545.76	$1,113.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,306.40 / $1,306.40 / $1,421.81	Professional		$1,306.40	$1,306.40	$1,421.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $439.60 / $558.54 / $755.25	Professional		$439.60	$558.54	$755.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,699.00 / $7,655.00	Facility		$1,410.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.61 / $435.05 / $943.83	Professional		$335.61	$435.05	$943.83