Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.98 / $4,329.00 / $16,713.00	Facility		$288.98	$4,329.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $276.60 / $1,056.10	Professional		$172.97	$276.60	$1,056.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.01 / $283.91 / $584.24	Professional		$210.01	$283.91	$584.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $264.52 / $600.53	Professional		$164.98	$264.52	$600.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,905.14	Facility		$67.90	$100.00	$4,905.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $207.13 / $492.39	Professional		$139.72	$207.13	$492.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.09 / $447.57 / $1,234.51	Facility		$241.09	$447.57	$1,234.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $300.72 / $660.45	Professional		$189.97	$300.72	$660.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $233.74 / $430.86	Professional		$77.06	$233.74	$430.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.87 / $312.43 / $541.00	Professional		$199.87	$312.43	$541.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $1,340.52 / $1,358.76	Facility		$440.00	$1,340.52	$1,358.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.24 / $2,063.52 / $2,423.33	Professional		$1,412.24	$2,063.52	$2,423.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $237.37	Professional		$32.34	$32.34	$237.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.56 / $266.52 / $451.09	Facility		$166.56	$266.52	$451.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $337.50 / $702.97	Professional		$194.93	$337.50	$702.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $633.97 / $633.97 / $912.87	Professional		$633.97	$633.97	$912.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $165.22 / $398.99	Professional		$77.06	$165.22	$398.99
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $2,546.00 / $7,655.00	Facility		$520.00	$2,546.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.55 / $282.24 / $693.61	Professional		$206.55	$282.24	$693.61