Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.46 / $6,238.00 / $16,973.00	Facility		$470.46	$6,238.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.31 / $396.41 / $1,185.84	Professional		$292.31	$396.41	$1,185.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $794.70 / $794.70 / $794.70	Professional		$794.70	$794.70	$794.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.52 / $437.95 / $979.98	Professional		$302.52	$437.95	$979.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $6,663.63	Facility		$69.80	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.03 / $342.28 / $793.64	Professional		$229.03	$342.28	$793.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $1,766.05 / $4,917.14	Facility		$535.00	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.26 / $498.46 / $997.00	Professional		$308.26	$498.46	$997.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $460.00 / $811.78	Professional		$202.53	$460.00	$811.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.20 / $526.79 / $910.98	Professional		$353.20	$526.79	$910.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,357.21 / $2,401.67 / $16,394.00	Facility		$2,357.21	$2,401.67	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,476.40 / $3,428.32 / $4,042.58	Professional		$2,476.40	$3,428.32	$4,042.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $663.22	Professional		$32.34	$32.34	$663.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.74 / $481.06 / $759.36	Facility		$338.74	$481.06	$759.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.41 / $559.84 / $1,145.59	Professional		$313.41	$559.84	$1,145.59
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,355.00 / $4,355.00 / $4,355.00	Facility		$4,355.00	$4,355.00	$4,355.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,094.40 / $1,094.40 / $1,540.40	Professional		$1,094.40	$1,094.40	$1,540.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $255.41 / $383.11 / $668.24	Professional		$255.41	$383.11	$668.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,029.00 / $14,743.00	Facility		$1,300.00	$7,029.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.35 / $472.50 / $1,172.06	Professional		$339.35	$472.50	$1,172.06