Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $16,573.00	Facility		$365.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $177.75 / $672.81	Professional		$146.55	$177.75	$672.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.75 / $354.75 / $354.75	Professional		$354.75	$354.75	$354.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $273.31 / $545.70	Professional		$183.36	$273.31	$545.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,652.09	Facility		$66.00	$100.00	$1,652.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $180.34 / $441.58	Professional		$125.17	$180.34	$441.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.81 / $496.13 / $1,168.84	Facility		$419.81	$496.13	$1,168.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $224.65 / $508.09	Professional		$168.14	$224.65	$508.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $211.10 / $286.44	Professional		$152.63	$211.10	$286.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $214.20 / $401.00	Professional		$156.30	$214.20	$401.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $706.96 / $769.79	Facility		$55.00	$706.96	$769.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.56 / $1,313.04 / $1,525.28	Professional		$1,124.56	$1,313.04	$1,525.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.60 / $219.90 / $307.66	Facility		$169.60	$219.90	$307.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.95 / $233.17 / $486.99	Professional		$171.95	$233.17	$486.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $514.84 / $514.84 / $602.60	Professional		$514.84	$514.84	$602.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $195.28 / $274.76	Professional		$152.63	$195.28	$274.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,699.00 / $7,655.00	Facility		$1,120.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $217.35 / $711.41	Professional		$147.84	$217.35	$711.41