Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.20 / $5,382.00 / $16,713.00	Facility		$302.20	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $232.24 / $1,060.00	Professional		$186.28	$232.24	$1,060.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $182.66 / $412.13	Professional		$182.66	$182.66	$412.13
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 $213.76 / $308.23 / $605.90	Professional		$213.76	$308.23	$605.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,615.58	Facility		$66.00	$100.00	$7,615.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $175.97 / $242.59 / $556.59	Professional		$175.97	$242.59	$556.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.02 / $249.46 / $2,277.00	Facility		$249.02	$249.46	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $285.64 / $579.29	Professional		$216.06	$285.64	$579.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $253.62 / $342.39	Professional		$148.18	$253.62	$342.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.70 / $295.64 / $511.52	Professional		$216.70	$295.64	$511.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $993.04 / $1,083.52 / $11,500.00	Facility		$993.04	$1,083.52	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.24 / $1,976.63 / $2,441.19	Professional		$1,556.24	$1,976.63	$2,441.19
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 $222.87 / $300.89 / $429.99	Facility		$222.87	$300.89	$429.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $305.33 / $589.45	Professional		$219.39	$305.33	$589.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $690.19 / $690.19 / $774.34	Professional		$690.19	$690.19	$774.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $232.82 / $320.13	Professional		$165.96	$232.82	$320.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,693.00 / $7,042.00 / $14,636.00	Facility		$3,693.00	$7,042.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $240.84 / $525.87	Professional		$180.63	$240.84	$525.87