Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.48 / $4,969.22 / $15,747.00	Facility		$886.48	$4,969.22	$15,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.32 / $575.64 / $1,324.00	Professional		$182.32	$575.64	$1,324.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $165.80 / $271.52	Professional		$144.97	$165.80	$271.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,557.00 / $18,150.00	Facility		$3,028.00	$9,557.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.50 / $911.41 / $1,451.62	Professional		$224.50	$911.41	$1,451.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $8,181.81	Facility		$66.09	$100.00	$8,181.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $194.14 / $432.58	Professional		$135.44	$194.14	$432.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,000.00 / $25,198.00	Facility		$2,277.00	$5,000.00	$25,198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $331.34 / $935.15	Professional		$181.64	$331.34	$935.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $185.68 / $250.67 / $506.18	Professional		$185.68	$250.67	$506.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $218.16 / $445.05	Professional		$157.83	$218.16	$445.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $938.99 / $7,826.70 / $26,542.00	Facility		$938.99	$7,826.70	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $85.28 / $93.90 / $236.38	Facility	AS	$85.28	$93.90	$236.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,110.16 / $5,110.16 / $5,110.16	Professional		$5,110.16	$5,110.16	$5,110.16
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 $191.98 / $238.89 / $1,144.00	Facility		$191.98	$238.89	$1,144.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $65.52 / $65.52 / $65.52	Facility	80	$65.52	$65.52	$65.52
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $19.01 / $19.01 / $55.70	Facility	AS	$19.01	$19.01	$55.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $351.31 / $858.55	Professional		$182.51	$351.31	$858.55
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,389.00 / $2,389.00 / $2,389.00	Facility		$2,389.00	$2,389.00	$2,389.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $560.37 / $560.37 / $560.37	Professional		$560.37	$560.37	$560.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.74 / $205.89 / $717.09	Professional		$149.74	$205.89	$717.09
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,920.00	Facility		$587.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $222.40 / $742.51	Professional		$138.53	$222.40	$742.51