Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $6,264.00 / $17,133.00	Facility		$530.00	$6,264.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $435.18 / $743.46	Professional		$244.91	$435.18	$743.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $159.47 / $159.47	Professional		$159.47	$159.47	$159.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $478.12 / $909.99	Professional		$275.12	$478.12	$909.99
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 $358.39 / $511.98 / $1,036.33	Professional		$358.39	$511.98	$1,036.33
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 $292.44 / $470.74 / $855.27	Professional		$292.44	$470.74	$855.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $155.80 / $247.50 / $401.19	Professional		$155.80	$247.50	$401.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $249.05 / $480.62	Professional		$140.22	$249.05	$480.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $875.91 / $875.91 / $26,542.00	Facility		$875.91	$875.91	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.95 / $2,170.85 / $2,701.08	Professional		$1,562.95	$2,170.85	$2,701.08
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 $168.18 / $316.70 / $599.51	Facility		$168.18	$316.70	$599.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $470.74 / $846.59	Professional		$277.58	$470.74	$846.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,049.28 / $1,049.28 / $1,476.04	Professional		$1,049.28	$1,049.28	$1,476.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $268.13 / $371.26	Professional		$141.57	$268.13	$371.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $460.50 / $979.65	Professional		$319.00	$460.50	$979.65