Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $5,018.25 / $13,290.00	Facility		$864.00	$5,018.25	$13,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.71 / $291.49 / $1,076.89	Professional		$190.71	$291.49	$1,076.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $308.95 / $423.88 / $508.24	Professional		$308.95	$423.88	$508.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $12,615.00	Facility		$2,143.00	$5,863.00	$12,615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $429.70 / $810.50	Professional		$272.02	$429.70	$810.50
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 $201.15 / $287.35 / $599.14	Professional		$201.15	$287.35	$599.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.91 / $798.91 / $944.16	Facility		$798.91	$798.91	$944.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $283.70 / $535.72	Professional		$200.94	$283.70	$535.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $251.33 / $343.48	Professional		$160.09	$251.33	$343.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $246.63 / $432.19	Professional		$188.39	$246.63	$432.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $872.72 / $923.07 / $12,000.00	Facility		$872.72	$923.07	$12,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $47.51 / $92.31 / $92.31	Facility	AS	$47.51	$92.31	$92.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.64 / $1,862.48 / $2,268.59	Professional		$1,350.64	$1,862.48	$2,268.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.34 / $292.30 / $445.21	Facility		$217.34	$292.30	$445.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.25 / $292.88 / $552.78	Professional		$205.25	$292.88	$552.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.83 / $616.83 / $723.83	Professional		$616.83	$616.83	$723.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $231.08 / $302.83	Professional		$160.09	$231.08	$302.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,243.00 / $12,907.00	Facility		$2,230.00	$4,243.00	$12,907.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $288.00 / $642.98	Professional		$192.00	$288.00	$642.98