Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.07 / $6,322.00 / $17,380.00	Facility		$449.07	$6,322.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.99 / $382.55 / $1,479.21	Professional		$252.99	$382.55	$1,479.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.94 / $230.94 / $230.94	Professional		$230.94	$230.94	$230.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.07 / $405.82 / $819.32	Professional		$296.07	$405.82	$819.32
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 $268.11 / $383.02 / $808.11	Professional		$268.11	$383.02	$808.11
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 $304.07 / $466.68 / $841.79	Professional		$304.07	$466.68	$841.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $366.97 / $695.13	Professional		$187.27	$366.97	$695.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.68 / $454.96 / $786.52	Professional		$288.68	$454.96	$786.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.48 / $1,436.45 / $26,542.00	Facility		$1,328.48	$1,436.45	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,076.64 / $3,019.12 / $3,483.38	Professional		$2,076.64	$3,019.12	$3,483.38
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 $340.87 / $458.00 / $676.34	Facility		$340.87	$458.00	$676.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.97 / $497.83 / $943.63	Professional		$305.97	$497.83	$943.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $917.81 / $917.81 / $1,415.50	Professional		$917.81	$917.81	$1,415.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $262.17 / $354.24 / $572.29	Professional		$262.17	$354.24	$572.29
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 $328.05 / $437.40 / $977.94	Professional		$328.05	$437.40	$977.94