Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.93 / $5,331.78 / $16,008.00	Facility		$975.93	$5,331.78	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $817.07 / $1,464.10	Professional		$144.47	$817.07	$1,464.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $242.16 / $242.16	Professional		$242.16	$242.16	$242.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.33 / $835.11 / $2,166.12	Professional		$224.33	$835.11	$2,166.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $689.56 / $1,861.61	Professional		$179.66	$689.56	$1,861.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $612.58 / $1,879.63	Professional		$160.93	$612.58	$1,879.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $160.22 / $1,200.77	Professional		$80.79	$160.22	$1,200.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $559.09 / $1,351.43	Professional		$150.52	$559.09	$1,351.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,271.89 / $1,411.45	Facility		$55.00	$1,271.89	$1,411.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,866.03 / $6,462.52 / $6,656.40	Professional		$2,866.03	$6,462.52	$6,656.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.35 / $268.44 / $1,450.93	Facility		$176.35	$268.44	$1,450.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $444.98 / $1,958.04	Professional		$160.93	$444.98	$1,958.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $506.96 / $506.96 / $2,923.29	Professional		$506.96	$506.96	$2,923.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $145.34 / $1,112.53	Professional		$80.79	$145.34	$1,112.53
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,506.00 / $6,920.00	Facility		$526.00	$1,506.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.76 / $1,085.48 / $2,701.89	Professional		$690.76	$1,085.48	$2,701.89