Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.94 / $5,829.00 / $16,713.00	Facility		$1,341.94	$5,829.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.21 / $1,107.89 / $1,823.63	Professional		$253.21	$1,107.89	$1,823.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $118.93 / $237.86	Professional		$118.93	$118.93	$237.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,663.00 / $7,070.00 / $14,103.00	Facility		$2,663.00	$7,070.00	$14,103.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.53 / $969.61 / $2,726.18	Professional		$371.53	$969.61	$2,726.18
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 $311.13 / $1,009.74 / $2,604.98	Professional		$311.13	$1,009.74	$2,604.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $459.52	Facility		$459.52	$459.52	$459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.45 / $844.06 / $2,269.02	Professional		$282.45	$844.06	$2,269.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.91 / $333.20 / $1,783.31	Professional		$218.91	$333.20	$1,783.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.53 / $794.36 / $1,709.21	Professional		$255.53	$794.36	$1,709.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,802.46 / $1,802.46 / $8,980.00	Facility		$1,802.46	$1,802.46	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,893.69 / $7,328.19 / $8,697.53	Professional		$3,893.69	$7,328.19	$8,697.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $864.59	Professional		$32.34	$32.34	$864.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.56 / $580.22 / $1,874.91	Facility		$294.56	$580.22	$1,874.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.43 / $949.56 / $2,666.24	Professional		$289.43	$949.56	$2,666.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.49 / $870.49 / $3,836.20	Professional		$870.49	$870.49	$3,836.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $358.89 / $1,468.25	Professional		$223.76	$358.89	$1,468.25
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $944.54 / $1,390.87 / $2,988.03	Professional		$944.54	$1,390.87	$2,988.03