Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.30 / $6,423.00 / $18,315.16	Facility		$494.30	$6,423.00	$18,315.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.95 / $419.75 / $1,691.23	Professional		$281.95	$419.75	$1,691.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $420.60 / $420.60 / $670.97	Professional		$420.60	$420.60	$670.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.79 / $463.40 / $986.91	Professional		$311.79	$463.40	$986.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $7,501.98	Facility		$69.80	$100.00	$7,501.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $392.86 / $879.75	Professional		$275.00	$392.86	$879.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.29 / $1,766.05 / $4,917.14	Facility		$542.29	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $494.11 / $1,016.14	Professional		$313.00	$494.11	$1,016.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $414.30 / $802.18	Professional		$202.53	$414.30	$802.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.87 / $518.50 / $893.78	Professional		$328.87	$518.50	$893.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,210.76 / $2,244.48 / $26,542.00	Facility		$2,210.76	$2,244.48	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.67 / $3,452.56 / $4,094.93	Professional		$2,321.67	$3,452.56	$4,094.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $672.49	Professional		$32.34	$32.34	$672.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.45 / $487.65 / $765.43	Facility		$335.45	$487.65	$765.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.72 / $564.37 / $1,152.80	Professional		$318.72	$564.37	$1,152.80
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 $1,039.57 / $1,039.57 / $1,572.13	Professional		$1,039.57	$1,039.57	$1,572.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $255.41 / $383.11 / $660.08	Professional		$255.41	$383.11	$660.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,034.00 / $14,743.00	Facility		$1,300.00	$7,034.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.30 / $491.54 / $1,193.01	Professional		$362.30	$491.54	$1,193.01