Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.41 / $5,382.00 / $16,210.00	Facility		$550.41	$5,382.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.10 / $451.49 / $1,356.23	Professional		$286.10	$451.49	$1,356.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $168.75 / $325.91	Professional		$123.81	$168.75	$325.91
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 $313.95 / $477.52 / $1,004.08	Professional		$313.95	$477.52	$1,004.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,159.08	Facility		$66.00	$100.00	$7,159.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $348.11 / $512.29 / $969.20	Professional		$348.11	$512.29	$969.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.29 / $531.16 / $987.15	Professional		$307.29	$531.16	$987.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.46 / $262.52 / $478.78	Professional		$194.46	$262.52	$478.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.87 / $301.02 / $570.37	Professional		$176.87	$301.02	$570.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,028.36 / $1,039.42 / $16,394.00	Facility		$1,028.36	$1,039.42	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.60 / $2,728.60 / $3,336.50	Professional		$1,906.60	$2,728.60	$3,336.50
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 $212.24 / $372.69 / $663.94	Facility		$212.24	$372.69	$663.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.48 / $536.97 / $1,013.49	Professional		$323.48	$536.97	$1,013.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,289.33 / $1,289.33 / $1,866.36	Professional		$1,289.33	$1,289.33	$1,866.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $309.77 / $410.80	Professional		$176.62	$309.77	$410.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.67 / $556.66 / $1,280.67	Professional		$387.67	$556.66	$1,280.67