Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.54 / $3,951.37 / $13,916.00	Facility		$248.54	$3,951.37	$13,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $176.03 / $703.25	Professional		$135.55	$176.03	$703.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $161.81 / $161.81	Professional		$161.81	$161.81	$161.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,549.00 / $9,596.00	Facility		$1,759.00	$4,549.00	$9,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.23 / $273.12 / $506.38	Professional		$193.23	$273.12	$506.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $188.80 / $414.65	Professional		$132.16	$188.80	$414.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.81 / $419.81 / $496.13	Facility		$419.81	$419.81	$496.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $189.00 / $391.38	Professional		$141.71	$189.00	$391.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $181.48 / $257.06	Professional		$135.88	$181.48	$257.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $182.11 / $313.39	Professional		$135.50	$182.11	$313.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $627.76 / $665.24 / $12,000.00	Facility		$627.76	$665.24	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $976.24 / $1,179.04 / $1,373.48	Professional		$976.24	$1,179.04	$1,373.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.05 / $207.09 / $273.70	Facility		$149.05	$207.09	$273.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $194.17 / $410.33	Professional		$142.86	$194.17	$410.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $448.04 / $448.04 / $543.01	Professional		$448.04	$448.04	$543.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $171.37 / $257.05	Professional		$135.88	$171.37	$257.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,731.00 / $11,305.00	Facility		$1,120.00	$2,731.00	$11,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $196.72 / $557.17	Professional		$138.04	$196.72	$557.17