Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.89 / $4,848.00 / $16,573.00	Facility		$410.89	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $369.47 / $1,177.31	Professional		$225.28	$369.47	$1,177.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $289.05 / $289.05	Professional		$289.05	$289.05	$289.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.44 / $376.14 / $749.52	Professional		$263.44	$376.14	$749.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $395.56 / $772.67	Professional		$258.95	$395.56	$772.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.24 / $438.37 / $821.12	Professional		$277.24	$438.37	$821.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $352.45 / $695.28	Professional		$164.18	$352.45	$695.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.24 / $452.81 / $783.02	Professional		$275.24	$452.81	$783.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.32 / $1,372.99 / $12,000.00	Facility		$1,260.32	$1,372.99	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,971.92 / $2,983.52 / $3,452.85	Professional		$1,971.92	$2,983.52	$3,452.85
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 $291.52 / $422.70 / $650.53	Facility		$291.52	$422.70	$650.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $467.56 / $899.20	Professional		$283.06	$467.56	$899.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $871.25 / $871.25 / $1,407.40	Professional		$871.25	$871.25	$1,407.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.86 / $310.57 / $572.46	Professional		$229.86	$310.57	$572.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,042.00 / $14,636.00	Facility		$3,800.00	$7,042.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $409.70 / $968.19	Professional		$313.30	$409.70	$968.19