Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.56 / $4,848.00 / $17,030.00	Facility		$378.56	$4,848.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $291.14 / $680.32	Professional		$126.43	$291.14	$680.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $113.68 / $171.53	Professional		$113.68	$113.68	$171.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $324.54 / $619.35	Professional		$151.41	$324.54	$619.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $302.99 / $610.51	Professional		$146.43	$302.99	$610.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $888.30 / $2,226.34	Facility		$339.00	$888.30	$2,226.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.68 / $302.82 / $605.67	Professional		$136.68	$302.82	$605.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.87 / $180.72 / $507.90	Professional		$133.87	$180.72	$507.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $294.94 / $535.94	Professional		$119.58	$294.94	$535.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $678.85 / $695.10 / $12,000.00	Facility		$678.85	$695.10	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $2,124.71 / $2,488.13	Professional		$1,350.00	$2,124.71	$2,488.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $328.29	Professional		$32.34	$32.34	$328.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $283.50 / $494.23	Facility		$132.74	$283.50	$494.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $316.27 / $729.27	Professional		$143.13	$316.27	$729.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $392.42 / $392.42 / $945.40	Professional		$392.42	$392.42	$945.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $186.34 / $418.20	Professional		$121.59	$186.34	$418.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.03 / $330.87 / $725.14	Professional		$234.03	$330.87	$725.14