Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.16 / $5,297.00 / $17,902.00	Facility		$624.16	$5,297.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $518.27 / $3,396.18	Professional		$288.95	$518.27	$3,396.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $219.46 / $2,887.81	Professional		$219.46	$219.46	$2,887.81
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 $455.60 / $809.57 / $1,573.44	Professional		$455.60	$809.57	$1,573.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $4,858.55	Facility		$69.80	$100.00	$4,858.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $335.25 / $584.24 / $1,178.73	Professional		$335.25	$584.24	$1,178.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $2,656.00	Facility		$633.00	$900.00	$2,656.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.04 / $624.91 / $5,646.79	Professional		$321.04	$624.91	$5,646.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $887.44 / $4,026.46	Professional		$294.64	$887.44	$4,026.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.92 / $1,247.00 / $4,243.18	Professional		$265.92	$1,247.00	$4,243.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,880.05 / $3,880.05	Facility		$55.00	$3,880.05	$3,880.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,697.96 / $16,791.79 / $19,487.48	Professional		$8,697.96	$16,791.79	$19,487.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,958.13	Professional		$32.34	$32.34	$1,958.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.64 / $608.40 / $3,907.78	Facility		$294.64	$608.40	$3,907.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.05 / $672.06 / $6,370.53	Professional		$332.05	$672.06	$6,370.53
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,838.00 / $1,838.00 / $1,838.00	Facility		$1,838.00	$1,838.00	$1,838.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $883.47 / $883.47 / $9,908.02	Professional		$883.47	$883.47	$9,908.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $267.58 / $327.04 / $3,444.71	Professional		$267.58	$327.04	$3,444.71
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 $552.84 / $2,728.81 / $7,633.21	Professional		$552.84	$2,728.81	$7,633.21