Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.66 / $6,264.00 / $17,380.00	Facility		$546.66	$6,264.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $398.15 / $1,141.63	Professional		$255.08	$398.15	$1,141.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.01 / $258.01 / $258.01	Professional		$258.01	$258.01	$258.01
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 $297.51 / $423.81 / $835.63	Professional		$297.51	$423.81	$835.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $8,208.49	Facility		$66.90	$100.00	$8,208.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $293.19 / $457.65 / $876.71	Professional		$293.19	$457.65	$876.71
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 $309.77 / $493.71 / $916.87	Professional		$309.77	$493.71	$916.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $187.64 / $390.43 / $778.46	Professional		$187.64	$390.43	$778.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $507.27 / $877.15	Professional		$305.77	$507.27	$877.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.88 / $1,523.47 / $26,542.00	Facility		$1,396.88	$1,523.47	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.88 / $3,341.28 / $3,875.85	Professional		$2,188.88	$3,341.28	$3,875.85
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 $353.73 / $480.00 / $728.31	Facility		$353.73	$480.00	$728.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $526.36 / $989.93	Professional		$312.58	$526.36	$989.93
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,841.00 / $3,841.00 / $3,841.00	Facility		$3,841.00	$3,841.00	$3,841.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $958.73 / $958.73 / $1,561.01	Professional		$958.73	$958.73	$1,561.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $262.69 / $354.94 / $640.91	Professional		$262.69	$354.94	$640.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.72 / $467.60 / $1,059.89	Professional		$360.72	$467.60	$1,059.89