Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.58 / $4,677.00 / $16,210.00	Facility		$507.58	$4,677.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $205.14 / $777.61	Professional		$127.18	$205.14	$777.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.04 / $192.74 / $286.97	Professional		$182.04	$192.74	$286.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.88 / $268.23 / $551.10	Professional		$174.88	$268.23	$551.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $223.57 / $460.20	Professional		$143.22	$223.57	$460.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $181.58 / $427.78	Facility		$153.63	$181.58	$427.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.82 / $230.70 / $551.03	Professional		$138.82	$230.70	$551.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $179.00 / $290.81	Professional		$137.69	$179.00	$290.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.92 / $208.49 / $367.63	Professional		$123.92	$208.49	$367.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $958.86 / $978.46	Facility		$55.00	$958.86	$978.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $1,793.11 / $1,793.11	Professional		$1,619.00	$1,793.11	$1,793.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $227.11 / $366.82	Facility		$142.22	$227.11	$366.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $243.64 / $501.48	Professional		$141.44	$243.64	$501.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $386.06 / $386.06 / $632.50	Professional		$386.06	$386.06	$632.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $204.24 / $282.80	Professional		$152.88	$204.24	$282.80
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $6,920.00	Facility		$545.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.08 / $240.76 / $666.62	Professional		$163.08	$240.76	$666.62