Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.30 / $4,848.00 / $16,573.00	Facility		$448.30	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.53 / $411.80 / $2,212.91	Professional		$359.53	$411.80	$2,212.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $373.67 / $373.67	Professional		$373.67	$373.67	$373.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $548.83 / $1,095.82	Professional		$434.84	$548.83	$1,095.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $312.88 / $446.97 / $977.44	Professional		$312.88	$446.97	$977.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.13 / $527.41 / $1,144.44	Professional		$394.13	$527.41	$1,144.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $230.45 / $585.65 / $803.02	Professional		$230.45	$585.65	$803.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.01 / $611.14 / $1,048.19	Professional		$451.01	$611.14	$1,048.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,050.32 / $2,263.14 / $12,000.00	Facility		$2,050.32	$2,263.14	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,164.72 / $3,554.00 / $4,151.33	Professional		$3,164.72	$3,554.00	$4,151.33
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 $409.72 / $578.24 / $801.17	Facility		$409.72	$578.24	$801.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.52 / $567.16 / $1,166.63	Professional		$395.52	$567.16	$1,166.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,373.07 / $1,373.07 / $1,516.12	Professional		$1,373.07	$1,373.07	$1,516.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $483.71 / $660.65	Professional		$322.64	$483.71	$660.65
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.77 / $460.92 / $1,042.99	Professional		$351.77	$460.92	$1,042.99