Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.66 / $6,640.00 / $17,133.00	Facility		$1,619.66	$6,640.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.97 / $463.16 / $1,821.00	Professional		$387.97	$463.16	$1,821.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.53 / $370.53 / $370.53	Professional		$370.53	$370.53	$370.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,048.00 / $13,697.00	Facility		$2,456.00	$6,048.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.34 / $720.37 / $1,358.52	Professional		$516.34	$720.37	$1,358.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $469.65 / $1,144.86	Professional		$298.19	$469.65	$1,144.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.30 / $581.98 / $1,657.97	Professional		$437.30	$581.98	$1,657.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $500.56 / $685.23	Professional		$362.25	$500.56	$685.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.21 / $575.64 / $1,018.95	Professional		$448.21	$575.64	$1,018.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,073.94 / $6,817.20	Facility		$55.00	$2,073.94	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $98.93 / $646.16 / $646.16	Facility	AS	$98.93	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,165.12 / $3,228.96 / $3,835.13	Professional		$3,165.12	$3,228.96	$3,835.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.32 / $560.80 / $800.90	Facility		$433.32	$560.80	$800.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $143.61 / $143.61 / $143.61	Facility	AS	$143.61	$143.61	$143.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $439.14 / $587.99 / $1,248.17	Professional		$439.14	$587.99	$1,248.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,415.43 / $1,415.43 / $1,415.43	Professional		$1,415.43	$1,415.43	$1,415.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $543.37 / $685.24	Professional		$362.25	$543.37	$685.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $16,148.00	Facility		$3,523.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.25 / $522.60 / $1,452.60	Professional		$367.25	$522.60	$1,452.60