Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.33 / $6,264.00 / $17,133.00	Facility		$610.33	$6,264.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.25 / $546.38 / $2,197.78	Professional		$376.25	$546.38	$2,197.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $507.11 / $507.11 / $507.11	Professional		$507.11	$507.11	$507.11
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 $435.55 / $595.51 / $1,197.66	Professional		$435.55	$595.51	$1,197.66
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 $414.26 / $591.79 / $1,194.89	Professional		$414.26	$591.79	$1,194.89
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 $442.36 / $636.64 / $1,202.88	Professional		$442.36	$636.64	$1,202.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $568.16 / $974.89	Professional		$203.28	$568.16	$974.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.28 / $661.84 / $1,117.83	Professional		$443.28	$661.84	$1,117.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,028.88 / $2,212.27 / $26,542.00	Facility		$2,028.88	$2,212.27	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,178.56 / $4,247.43 / $4,891.64	Professional		$3,178.56	$4,247.43	$4,891.64
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 $446.57 / $624.98 / $938.78	Facility		$446.57	$624.98	$938.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.78 / $682.74 / $1,330.39	Professional		$454.78	$682.74	$1,330.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,400.23 / $1,400.23 / $1,972.46	Professional		$1,400.23	$1,400.23	$1,972.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $469.52 / $802.60	Professional		$284.58	$469.52	$802.60
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 $454.02 / $592.90 / $1,352.51	Professional		$454.02	$592.90	$1,352.51