Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.82 / $3,469.28 / $13,916.00	Facility		$630.82	$3,469.28	$13,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $239.84 / $905.60	Professional		$101.14	$239.84	$905.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $244.10 / $315.89	Professional		$96.61	$244.10	$315.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $227.33 / $682.33	Professional		$152.05	$227.33	$682.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $4,970.60	Facility		$66.90	$100.00	$4,970.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $221.43 / $433.58	Professional		$114.28	$221.43	$433.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.06 / $731.35 / $1,487.00	Facility		$730.06	$731.35	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $261.41 / $501.42	Professional		$118.55	$261.41	$501.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $223.38 / $445.00	Professional		$120.79	$223.38	$445.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $258.45 / $499.74	Professional		$109.64	$258.45	$499.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $485.92 / $529.39	Facility		$55.00	$485.92	$529.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $970.38 / $1,870.48 / $2,168.69	Professional		$970.38	$1,870.48	$2,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $241.81 / $424.75	Facility		$126.48	$241.81	$424.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $265.74 / $539.69	Professional		$121.10	$265.74	$539.69
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,526.00 / $1,526.00 / $1,526.00	Facility		$1,526.00	$1,526.00	$1,526.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $351.68 / $866.20	Professional		$351.68	$351.68	$866.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $266.52 / $366.48	Professional		$109.24	$266.52	$366.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,699.00 / $7,655.00	Facility		$1,207.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $272.69 / $597.59	Professional		$198.99	$272.69	$597.59