Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.00 / $7,261.00 / $18,989.03	Facility		$697.00	$7,261.00	$18,989.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.18 / $440.70 / $1,294.83	Professional		$301.18	$440.70	$1,294.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $204.97 / $300.95	Professional		$204.97	$204.97	$300.95
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 $334.98 / $478.27 / $934.52	Professional		$334.98	$478.27	$934.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,416.95	Facility		$66.00	$100.00	$9,416.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $325.63 / $473.24 / $920.67	Professional		$325.63	$473.24	$920.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $517.55 / $955.79	Professional		$345.84	$517.55	$955.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.62 / $427.33 / $794.61	Professional		$190.62	$427.33	$794.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.75 / $523.41 / $900.48	Professional		$336.75	$523.41	$900.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,547.52 / $1,674.61 / $26,542.00	Facility		$1,547.52	$1,674.61	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.32 / $3,464.56 / $3,994.50	Professional		$2,424.32	$3,464.56	$3,994.50
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 $384.00 / $510.00 / $752.17	Facility		$384.00	$510.00	$752.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.88 / $549.89 / $1,086.16	Professional		$348.88	$549.89	$1,086.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,074.20 / $1,074.20 / $1,617.57	Professional		$1,074.20	$1,074.20	$1,617.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $266.86 / $360.58 / $654.16	Professional		$266.86	$360.58	$654.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.30 / $486.51 / $1,116.72	Professional		$375.30	$486.51	$1,116.72