Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,740.00 / $16,973.00	Facility		$462.00	$5,740.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.31 / $417.79 / $1,584.52	Professional		$264.31	$417.79	$1,584.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.05 / $369.05 / $369.05	Professional		$369.05	$369.05	$369.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.30 / $493.45 / $1,100.28	Professional		$312.30	$493.45	$1,100.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $387.04 / $865.33	Professional		$240.50	$387.04	$865.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $505.54 / $1,131.80	Professional		$303.39	$505.54	$1,131.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $406.23 / $735.48	Professional		$174.24	$406.23	$735.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.06 / $500.80 / $855.53	Professional		$322.06	$500.80	$855.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,473.76 / $1,593.63 / $16,394.00	Facility		$1,473.76	$1,593.63	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.19 / $3,276.32 / $3,924.08	Professional		$2,255.19	$3,276.32	$3,924.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.22 / $462.53 / $742.11	Facility		$275.22	$462.53	$742.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $533.46 / $1,142.67	Professional		$303.39	$533.46	$1,142.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,006.54 / $1,006.54 / $1,560.73	Professional		$1,006.54	$1,006.54	$1,560.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.73 / $329.59 / $628.35	Professional		$219.73	$329.59	$628.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.04 / $568.67 / $2,025.59	Professional		$352.04	$568.67	$2,025.59