Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $6,264.00 / $16,799.43	Facility		$655.00	$6,264.00	$16,799.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.99 / $441.93 / $1,189.45	Professional		$278.99	$441.93	$1,189.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.75 / $208.75 / $208.75	Professional		$208.75	$208.75	$208.75
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 $325.94 / $480.87 / $934.44	Professional		$325.94	$480.87	$934.44
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 $320.68 / $473.78 / $924.23	Professional		$320.68	$473.78	$924.23
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 $339.93 / $521.85 / $975.10	Professional		$339.93	$521.85	$975.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $430.35 / $825.59	Professional		$253.16	$430.35	$825.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.92 / $539.49 / $932.70	Professional		$337.92	$539.49	$932.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.92 / $1,682.02 / $26,542.00	Facility		$1,551.92	$1,682.02	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,674.00 / $3,565.68 / $4,134.53	Professional		$2,674.00	$3,565.68	$4,134.53
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 $398.54 / $546.20 / $772.35	Facility		$398.54	$546.20	$772.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.15 / $562.71 / $1,110.31	Professional		$347.15	$562.71	$1,110.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,068.94 / $1,068.94 / $1,659.19	Professional		$1,068.94	$1,068.94	$1,659.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $319.26 / $434.59 / $679.67	Professional		$319.26	$434.59	$679.67
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 $377.57 / $498.40 / $1,140.08	Professional		$377.57	$498.40	$1,140.08