Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $6,351.00 / $17,030.00	Facility		$563.00	$6,351.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $471.87 / $890.06	Professional		$325.52	$471.87	$890.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $395.37 / $395.37 / $571.25	Professional		$395.37	$395.37	$571.25
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 $360.71 / $488.01 / $988.34	Professional		$360.71	$488.01	$988.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $7,680.36	Facility		$66.90	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $303.86 / $434.08 / $918.43	Professional		$303.86	$434.08	$918.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,360.35 / $4,227.49	Facility		$2,277.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.03 / $536.46 / $990.97	Professional		$361.03	$536.46	$990.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $413.78 / $589.12 / $795.31	Professional		$413.78	$589.12	$795.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.16 / $543.63 / $915.99	Professional		$359.16	$543.63	$915.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,647.52 / $1,785.48 / $26,542.00	Facility		$1,647.52	$1,785.48	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,591.04 / $3,502.40 / $4,022.63	Professional		$2,591.04	$3,502.40	$4,022.63
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 $411.69 / $532.36 / $773.76	Facility		$411.69	$532.36	$773.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.70 / $571.92 / $1,111.19	Professional		$367.70	$571.92	$1,111.19
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $2,614.00 / $2,614.00	Facility		$2,614.00	$2,614.00	$2,614.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,142.86 / $1,142.86 / $1,633.35	Professional		$1,142.86	$1,142.86	$1,633.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $334.31 / $459.68 / $654.72	Professional		$334.31	$459.68	$654.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.35 / $501.64 / $1,117.83	Professional		$379.35	$501.64	$1,117.83