Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.79 / $7,721.00 / $18,252.00	Facility		$1,720.79	$7,721.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.48 / $407.66 / $1,380.00	Professional		$264.48	$407.66	$1,380.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.39 / $281.39 / $281.39	Professional		$281.39	$281.39	$281.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $8,484.00 / $18,150.00	Facility		$1,700.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.72 / $407.06 / $820.10	Professional		$294.72	$407.06	$820.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $7,833.76	Facility		$69.80	$100.00	$7,833.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $225.80 / $339.71 / $764.53	Professional		$225.80	$339.71	$764.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.01 / $3,461.93 / $9,842.49	Facility		$538.01	$3,461.93	$9,842.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $380.00 / $826.27	Professional		$279.95	$380.00	$826.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $343.65 / $463.93	Professional		$168.65	$343.65	$463.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.39 / $369.62 / $687.83	Professional		$281.39	$369.62	$687.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,633.86 / $16,547.20 / $26,542.00	Facility		$1,633.86	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,483.85 / $2,630.26 / $2,709.17	Professional		$2,483.85	$2,630.26	$2,709.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $421.67	Professional		$32.34	$32.34	$421.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $389.63 / $618.57	Facility		$293.00	$389.63	$618.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.30 / $408.45 / $788.50	Professional		$293.30	$408.45	$788.50
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,239.00 / $4,239.00 / $4,239.00	Facility		$4,239.00	$4,239.00	$4,239.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $940.14 / $940.14 / $940.14	Professional		$940.14	$940.14	$940.14
United Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $6,955.00 / $14,743.00	Facility		$960.00	$6,955.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.47 / $318.97 / $714.40	Professional		$235.47	$318.97	$714.40