Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,188.06 / $6,880.00 / $17,701.00	Facility		$2,188.06	$6,880.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $436.80 / $1,787.00	Professional		$358.74	$436.80	$1,787.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,062.76 / $1,062.76 / $1,062.76	Professional		$1,062.76	$1,062.76	$1,062.76
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 $490.14 / $642.41 / $1,235.15	Professional		$490.14	$642.41	$1,235.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $446.75 / $998.22	Professional		$312.73	$446.75	$998.22
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 $421.67 / $531.44 / $1,150.97	Professional		$421.67	$531.44	$1,150.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $344.38 / $484.75 / $654.41	Professional		$344.38	$484.75	$654.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.45 / $555.16 / $981.33	Professional		$401.45	$555.16	$981.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,585.80 / $4,017.35	Facility		$55.00	$1,585.80	$4,017.35
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $95.18 / $380.79 / $380.79	Facility	AS	$95.18	$380.79	$380.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,037.36 / $3,095.12 / $3,661.43	Professional		$3,037.36	$3,095.12	$3,661.43
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 $433.03 / $539.85 / $740.22	Facility		$433.03	$539.85	$740.22
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $136.94	Facility	AS	$47.57	$47.57	$136.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.67 / $558.46 / $1,126.72	Professional		$421.67	$558.46	$1,126.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,357.64 / $1,357.64 / $1,357.64	Professional		$1,357.64	$1,357.64	$1,357.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $516.57 / $651.42	Professional		$391.06	$516.57	$651.42
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 $340.20 / $450.42 / $1,027.03	Professional		$340.20	$450.42	$1,027.03