Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.58 / $6,657.00 / $17,203.00	Facility		$534.58	$6,657.00	$17,203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $483.70 / $1,318.41	Professional		$317.97	$483.70	$1,318.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $207.76 / $207.76	Professional		$207.76	$207.76	$207.76
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 $372.66 / $528.53 / $1,058.91	Professional		$372.66	$528.53	$1,058.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $9,241.04	Facility		$66.90	$100.00	$9,241.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.61 / $467.95 / $1,053.96	Professional		$331.61	$467.95	$1,053.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.78 / $567.88 / $1,046.33	Professional		$382.78	$567.88	$1,046.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $476.37 / $870.29	Professional		$295.23	$476.37	$870.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.52 / $580.19 / $996.04	Professional		$375.52	$580.19	$996.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,732.48 / $1,867.08 / $26,542.00	Facility		$1,732.48	$1,867.08	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,702.08 / $3,802.00 / $4,385.10	Professional		$2,702.08	$3,802.00	$4,385.10
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 $443.15 / $584.19 / $834.10	Facility		$443.15	$584.19	$834.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.31 / $606.61 / $1,179.03	Professional		$389.31	$606.61	$1,179.03
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 $1,191.14 / $1,191.14 / $1,758.56	Professional		$1,191.14	$1,191.14	$1,758.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $372.31 / $484.01 / $716.45	Professional		$372.31	$484.01	$716.45
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 $407.97 / $528.85 / $1,205.21	Professional		$407.97	$528.85	$1,205.21