Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.53 / $5,597.00 / $16,573.00	Facility		$394.53	$5,597.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $245.75 / $901.36	Professional		$122.09	$245.75	$901.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.86 / $317.86 / $321.67	Professional		$317.86	$317.86	$321.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $231.91 / $564.29	Professional		$128.19	$231.91	$564.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $5,321.49	Facility		$69.80	$100.00	$5,321.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $218.43 / $459.53	Professional		$127.52	$218.43	$459.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $1,658.93 / $4,716.43	Facility		$339.00	$1,658.93	$4,716.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $275.10 / $652.37	Professional		$137.66	$275.10	$652.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $177.09 / $513.60	Professional		$95.31	$177.09	$513.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.27 / $320.14 / $562.77	Professional		$141.27	$320.14	$562.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $951.36 / $971.94 / $12,000.00	Facility		$951.36	$971.94	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.99 / $2,216.71 / $2,626.65	Professional		$1,180.99	$2,216.71	$2,626.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $434.30	Professional		$32.34	$32.34	$434.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $233.44 / $480.12	Facility		$129.88	$233.44	$480.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $307.75 / $759.20	Professional		$141.38	$307.75	$759.20
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $3,445.00 / $3,445.00	Facility		$3,445.00	$3,445.00	$3,445.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $443.42 / $443.42 / $979.58	Professional		$443.42	$443.42	$979.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $156.25 / $439.08	Professional		$95.31	$156.25	$439.08
United Facility/Professional Facility Modifier Low / Median / High Price $977.00 / $6,838.00 / $14,636.00	Facility		$977.00	$6,838.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.42 / $302.04 / $739.32	Professional		$211.42	$302.04	$739.32