Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.49 / $6,229.00 / $17,133.00	Facility		$678.49	$6,229.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.51 / $574.88 / $1,560.97	Professional		$394.51	$574.88	$1,560.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $115.01 / $220.78	Professional		$115.01	$115.01	$220.78
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 $488.92 / $793.82 / $1,621.60	Professional		$488.92	$793.82	$1,621.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $473.44 / $676.34 / $1,444.47	Professional		$473.44	$676.34	$1,444.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.78 / $746.52 / $1,346.57	Professional		$476.78	$746.52	$1,346.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $529.19 / $843.41	Professional		$280.33	$529.19	$843.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.58 / $396.89 / $744.62	Professional		$255.58	$396.89	$744.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,473.78 / $1,476.72 / $26,542.00	Facility		$1,473.78	$1,476.72	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,742.05 / $3,433.90 / $4,711.68	Professional		$2,742.05	$3,433.90	$4,711.68
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 $299.74 / $485.58 / $886.26	Facility		$299.74	$485.58	$886.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $486.36 / $746.16 / $1,385.73	Professional		$486.36	$746.16	$1,385.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,843.15 / $1,843.15 / $2,328.82	Professional		$1,843.15	$1,843.15	$2,328.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $254.64 / $400.85 / $1,003.20	Professional		$254.64	$400.85	$1,003.20
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 $495.13 / $697.71 / $1,550.07	Professional		$495.13	$697.71	$1,550.07