Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.61 / $4,704.00 / $16,109.00	Facility		$433.61	$4,704.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $349.20 / $866.45	Professional		$138.53	$349.20	$866.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $333.01 / $408.99	Professional		$172.39	$333.01	$408.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $218.42 / $783.56	Professional		$154.91	$218.42	$783.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $361.29 / $734.83	Professional		$159.41	$361.29	$734.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.84 / $395.31 / $862.81	Professional		$158.84	$395.31	$862.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $192.38 / $612.23	Professional		$115.79	$192.38	$612.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.81 / $353.92 / $685.62	Professional		$152.81	$353.92	$685.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $683.92 / $747.37 / $12,000.00	Facility		$683.92	$747.37	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.73 / $2,792.57 / $2,956.73	Professional		$1,317.73	$2,792.57	$2,956.73
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 $139.19 / $301.94 / $612.23	Facility		$139.19	$301.94	$612.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $393.76 / $903.53	Professional		$162.62	$393.76	$903.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $477.96 / $477.96 / $1,241.33	Professional		$477.96	$477.96	$1,241.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $194.23 / $504.16	Professional		$129.68	$194.23	$504.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.06 / $410.66 / $950.25	Professional		$291.06	$410.66	$950.25