Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.08 / $5,829.00 / $17,054.00	Facility		$917.08	$5,829.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $686.79 / $1,240.75	Professional		$183.29	$686.79	$1,240.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $261.02 / $261.02	Professional		$261.02	$261.02	$261.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,814.00 / $11,400.00	Facility		$1,787.00	$4,814.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $994.52 / $1,901.90	Professional		$281.52	$994.52	$1,901.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.53	Facility		$66.00	$100.00	$5,487.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $219.90 / $629.54 / $1,510.48	Professional		$219.90	$629.54	$1,510.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,551.23 / $2,551.23 / $3,015.10	Facility		$2,551.23	$2,551.23	$3,015.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.98 / $651.79 / $1,642.96	Professional		$202.98	$651.79	$1,642.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $240.78 / $1,298.85	Professional		$174.98	$240.78	$1,298.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.57 / $536.64 / $1,265.57	Professional		$180.57	$536.64	$1,265.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,228.98 / $1,352.88 / $16,394.00	Facility		$1,228.98	$1,352.88	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,747.09 / $5,267.92 / $6,197.93	Professional		$2,747.09	$5,267.92	$6,197.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.15 / $727.67 / $1,254.34	Facility		$211.15	$727.67	$1,254.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.94 / $626.66 / $1,680.32	Professional		$205.94	$626.66	$1,680.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $599.27 / $599.27 / $2,716.26	Professional		$599.27	$599.27	$2,716.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $244.97 / $1,069.78	Professional		$174.98	$244.97	$1,069.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,908.00 / $23,219.00	Facility		$5,116.00	$9,908.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.45 / $919.04 / $2,283.19	Professional		$661.45	$919.04	$2,283.19