Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $6,264.00 / $17,133.00	Facility		$563.00	$6,264.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.05 / $426.89 / $1,260.09	Professional		$279.05	$426.89	$1,260.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.82 / $273.82 / $273.82	Professional		$273.82	$273.82	$273.82
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 $325.17 / $464.26 / $921.36	Professional		$325.17	$464.26	$921.36
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 $320.74 / $490.69 / $938.35	Professional		$320.74	$490.69	$938.35
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 $336.46 / $526.95 / $963.55	Professional		$336.46	$526.95	$963.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $412.34 / $805.34	Professional		$198.81	$412.34	$805.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.97 / $526.01 / $909.44	Professional		$323.97	$526.01	$909.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.08 / $1,612.48 / $26,542.00	Facility		$1,487.08	$1,612.48	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,324.96 / $3,477.36 / $4,024.95	Professional		$2,324.96	$3,477.36	$4,024.95
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 $364.13 / $504.62 / $778.71	Facility		$364.13	$504.62	$778.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.47 / $563.91 / $1,062.19	Professional		$339.47	$563.91	$1,062.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,639.86	Professional		$1,030.36	$1,030.36	$1,639.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $278.33 / $376.07 / $663.03	Professional		$278.33	$376.07	$663.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $503.62 / $1,127.08	Professional		$379.89	$503.62	$1,127.08