Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,324.00 / $16,210.00	Facility		$550.00	$5,324.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $442.76 / $1,770.44	Professional		$293.64	$442.76	$1,770.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $146.58 / $146.58	Professional		$146.58	$146.58	$146.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,785.00 / $10,404.00	Facility		$1,787.00	$4,785.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.07 / $471.60 / $972.01	Professional		$344.07	$471.60	$972.01
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 $309.37 / $431.06 / $974.25	Professional		$309.37	$431.06	$974.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.54 / $562.54 / $2,277.00	Facility		$561.54	$562.54	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.61 / $520.99 / $962.81	Professional		$353.61	$520.99	$962.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.86 / $402.27 / $706.36	Professional		$208.86	$402.27	$706.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.84 / $529.77 / $911.14	Professional		$346.84	$529.77	$911.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,592.16 / $1,728.29	Facility		$55.00	$1,592.16	$1,728.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,494.56 / $3,463.20 / $3,985.28	Professional		$2,494.56	$3,463.20	$3,985.28
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 $396.77 / $516.79 / $760.98	Facility		$396.77	$516.79	$760.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $568.50 / $1,076.45	Professional		$358.00	$568.50	$1,076.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,098.52 / $1,098.52 / $1,609.44	Professional		$1,098.52	$1,098.52	$1,609.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $292.39 / $395.08 / $654.24	Professional		$292.39	$395.08	$654.24
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 $371.52 / $485.10 / $1,122.88	Professional		$371.52	$485.10	$1,122.88