Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.70 / $6,626.00 / $17,627.00	Facility		$606.70	$6,626.00	$17,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $401.37 / $1,094.04	Professional		$261.08	$401.37	$1,094.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $257.32 / $365.18	Professional		$151.13	$257.32	$365.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.33 / $421.25 / $846.80	Professional		$307.33	$421.25	$846.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $8,493.03	Facility		$66.90	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $297.88 / $431.23 / $838.41	Professional		$297.88	$431.23	$838.41
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 $314.58 / $469.34 / $871.01	Professional		$314.58	$469.34	$871.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.92 / $385.79 / $708.94	Professional		$183.92	$385.79	$708.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.73 / $470.53 / $811.36	Professional		$303.73	$470.53	$811.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.04 / $1,511.36 / $26,542.00	Facility		$1,399.04	$1,511.36	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,192.48 / $3,099.04 / $3,558.23	Professional		$2,192.48	$3,099.04	$3,558.23
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 $340.40 / $460.53 / $682.95	Facility		$340.40	$460.53	$682.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.18 / $510.94 / $972.26	Professional		$319.18	$510.94	$972.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $974.26 / $974.26 / $1,456.33	Professional		$974.26	$974.26	$1,456.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.48 / $347.90 / $583.66	Professional		$257.48	$347.90	$583.66
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 $337.50 / $437.50 / $997.99	Professional		$337.50	$437.50	$997.99