Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $6,423.00 / $17,133.00	Facility		$530.00	$6,423.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $466.85 / $1,324.23	Professional		$280.83	$466.85	$1,324.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.44 / $275.44 / $275.44	Professional		$275.44	$275.44	$275.44
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 $328.09 / $464.43 / $932.24	Professional		$328.09	$464.43	$932.24
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 $322.81 / $499.35 / $955.61	Professional		$322.81	$499.35	$955.61
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 $341.68 / $543.09 / $1,014.68	Professional		$341.68	$543.09	$1,014.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.83 / $470.88 / $944.72	Professional		$195.83	$470.88	$944.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.32 / $613.90 / $1,063.16	Professional		$368.32	$613.90	$1,063.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,647.03 / $1,834.55 / $26,542.00	Facility		$1,647.03	$1,834.55	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,598.40 / $4,027.20 / $4,716.97	Professional		$2,598.40	$4,027.20	$4,716.97
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 $368.34 / $540.25 / $865.32	Facility		$368.34	$540.25	$865.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $583.76 / $1,116.50	Professional		$353.70	$583.76	$1,116.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,045.60 / $1,045.60 / $1,691.16	Professional		$1,045.60	$1,045.60	$1,691.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $274.16 / $388.98 / $777.69	Professional		$274.16	$388.98	$777.69
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 $391.69 / $507.15 / $1,173.76	Professional		$391.69	$507.15	$1,173.76