Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.84 / $4,681.27 / $16,125.00	Facility		$380.84	$4,681.27	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.53 / $284.60 / $1,166.32	Professional		$139.53	$284.60	$1,166.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.41 / $245.41 / $245.41	Professional		$245.41	$245.41	$245.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $293.44 / $608.05	Professional		$196.76	$293.44	$608.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.99 / $280.27 / $625.41	Professional		$186.99	$280.27	$625.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.46 / $981.46 / $2,312.23	Facility		$830.46	$981.46	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.54 / $324.39 / $723.53	Professional		$196.54	$324.39	$723.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $245.83 / $421.13	Professional		$81.91	$245.83	$421.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.34 / $316.02 / $543.96	Professional		$206.34	$316.02	$543.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.42 / $1,435.80 / $12,000.00	Facility		$1,377.42	$1,435.80	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.24 / $1,996.64 / $2,339.85	Professional		$1,450.24	$1,996.64	$2,339.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.45 / $295.27 / $460.98	Facility		$183.45	$295.27	$460.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $338.27 / $712.65	Professional		$199.56	$338.27	$712.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $644.80 / $644.80 / $918.90	Professional		$644.80	$644.80	$918.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $144.61 / $390.06	Professional		$81.91	$144.61	$390.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,084.96 / $4,213.00 / $10,979.00	Facility		$2,084.96	$4,213.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.08 / $320.79 / $943.03	Professional		$220.08	$320.79	$943.03