Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.75 / $6,423.00 / $17,809.00	Facility		$489.75	$6,423.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.92 / $526.04 / $2,141.00	Professional		$371.92	$526.04	$2,141.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $615.08 / $615.08 / $844.85	Professional		$615.08	$615.08	$844.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,208.00 / $5,803.00 / $11,233.00	Facility		$1,208.00	$5,803.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.55 / $559.39 / $1,205.25	Professional		$390.55	$559.39	$1,205.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,602.09	Facility		$67.90	$100.00	$7,602.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $313.55 / $464.50 / $1,060.97	Professional		$313.55	$464.50	$1,060.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $900.00 / $2,226.34	Facility		$611.00	$900.00	$2,226.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $608.23 / $1,226.72	Professional		$400.00	$608.23	$1,226.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $505.72 / $884.78	Professional		$178.70	$505.72	$884.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.53 / $606.40 / $1,054.93	Professional		$440.53	$606.40	$1,054.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,954.10 / $3,001.26 / $26,542.00	Facility		$2,954.10	$3,001.26	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.32 / $4,003.28 / $4,777.13	Professional		$3,094.32	$4,003.28	$4,777.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $773.53	Professional		$32.34	$32.34	$773.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.68 / $573.86 / $900.62	Facility		$351.68	$573.86	$900.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.16 / $673.89 / $1,353.95	Professional		$413.16	$673.89	$1,353.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,372.11 / $1,372.11 / $1,801.28	Professional		$1,372.11	$1,372.11	$1,801.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $383.11 / $755.82	Professional		$178.70	$383.11	$755.82
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,786.00 / $9,072.00	Facility		$705.00	$3,786.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.91 / $568.14 / $1,360.47	Professional		$413.91	$568.14	$1,360.47