Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,498.50 / $7,368.00 / $16,756.00	Facility		$2,498.50	$7,368.00	$16,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.53 / $603.19 / $2,429.00	Professional		$410.53	$603.19	$2,429.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $420.27 / $420.27 / $420.27	Professional		$420.27	$420.27	$420.27
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 $531.41 / $721.21 / $1,386.66	Professional		$531.41	$721.21	$1,386.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $7,340.45	Facility		$66.90	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $350.41 / $500.80 / $1,115.88	Professional		$350.41	$500.80	$1,115.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $5,980.00	Facility		$1,390.96	$1,393.42	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.88 / $596.73 / $1,281.45	Professional		$471.88	$596.73	$1,281.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $386.08 / $534.25 / $993.04	Professional		$386.08	$534.25	$993.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.99 / $613.17 / $1,089.00	Professional		$444.99	$613.17	$1,089.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,656.68 / $4,017.35	Facility		$55.00	$2,656.68	$4,017.35
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $105.72 / $380.79 / $380.79	Facility	AS	$105.72	$380.79	$380.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,381.92 / $3,448.40 / $4,091.25	Professional		$3,381.92	$3,448.40	$4,091.25
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 $479.80 / $598.20 / $821.77	Facility		$479.80	$598.20	$821.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $53.09 / $53.09 / $153.11	Facility	AS	$53.09	$53.09	$153.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.68 / $626.32 / $1,259.70	Professional		$472.68	$626.32	$1,259.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,515.61 / $1,515.61 / $1,515.61	Professional		$1,515.61	$1,515.61	$1,515.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $430.90 / $501.90 / $656.33	Professional		$430.90	$501.90	$656.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.74 / $500.18 / $1,034.07	Professional		$367.74	$500.18	$1,034.07