Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $6,423.00 / $18,293.00	Facility		$563.00	$6,423.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $431.63 / $1,681.99	Professional		$287.54	$431.63	$1,681.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $139.01 / $403.78	Professional		$139.01	$139.01	$403.78
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 $316.47 / $445.82 / $897.24	Professional		$316.47	$445.82	$897.24
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 $312.38 / $462.18 / $902.68	Professional		$312.38	$462.18	$902.68
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 $331.13 / $505.58 / $950.83	Professional		$331.13	$505.58	$950.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $422.97 / $806.61	Professional		$183.17	$422.97	$806.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.44 / $526.72 / $910.63	Professional		$331.44	$526.72	$910.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,526.16 / $1,650.72 / $26,542.00	Facility		$1,526.16	$1,650.72	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,368.16 / $3,475.20 / $4,038.30	Professional		$2,368.16	$3,475.20	$4,038.30
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 $326.89 / $492.75 / $753.21	Facility		$326.89	$492.75	$753.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.85 / $539.76 / $1,073.22	Professional		$336.85	$539.76	$1,073.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,043.64 / $1,043.64 / $1,619.48	Professional		$1,043.64	$1,043.64	$1,619.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $256.44 / $349.46 / $664.03	Professional		$256.44	$349.46	$664.03
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 $361.40 / $474.25 / $1,074.95	Professional		$361.40	$474.25	$1,074.95