Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.10 / $6,268.00 / $17,380.00	Facility		$334.10	$6,268.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $323.76 / $1,498.93	Professional		$261.36	$323.76	$1,498.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $108.70 / $108.70	Professional		$108.70	$108.70	$108.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $389.51 / $795.20	Professional		$297.19	$389.51	$795.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,615.58	Facility		$66.00	$100.00	$7,615.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $246.39 / $342.79 / $781.51	Professional		$246.39	$342.79	$781.51
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 $301.47 / $394.53 / $792.63	Professional		$301.47	$394.53	$792.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.22 / $365.51 / $519.51	Professional		$193.22	$365.51	$519.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.87 / $395.16 / $659.71	Professional		$289.87	$395.16	$659.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,329.76 / $1,443.86 / $26,542.00	Facility		$1,329.76	$1,443.86	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.36 / $2,671.20 / $3,167.69	Professional		$2,089.36	$2,671.20	$3,167.69
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 $303.87 / $405.62 / $588.16	Facility		$303.87	$405.62	$588.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $418.37 / $797.27	Professional		$303.52	$418.37	$797.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $930.05 / $930.05 / $1,049.06	Professional		$930.05	$930.05	$1,049.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $216.41 / $310.99 / $427.61	Professional		$216.41	$310.99	$427.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $336.33 / $718.72	Professional		$252.60	$336.33	$718.72