Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $6,695.00 / $17,902.00	Facility		$1,169.00	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $168.24 / $640.38	Professional		$134.57	$168.24	$640.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $120.98 / $120.98	Professional		$120.98	$120.98	$120.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,334.00 / $16,106.00	Facility		$2,629.00	$7,334.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.09 / $276.82 / $470.86	Professional		$207.09	$276.82	$470.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,392.69	Facility		$66.00	$100.00	$8,392.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $194.53 / $396.53	Professional		$126.55	$194.53	$396.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.95 / $3,801.95 / $4,493.21	Facility		$3,801.95	$3,801.95	$4,493.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $174.45 / $458.08	Professional		$126.04	$174.45	$458.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $141.41 / $4,219.54	Professional		$126.58	$141.41	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $143.54 / $267.02	Professional		$114.93	$143.54	$267.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $764.82 / $17,070.15 / $26,542.00	Facility		$764.82	$17,070.15	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.50 / $1,442.43 / $1,442.43	Professional		$1,256.50	$1,442.43	$1,442.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.61 / $200.45 / $294.00	Facility		$129.61	$200.45	$294.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $178.28 / $404.77	Professional		$127.56	$178.28	$404.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $397.35 / $397.35 / $397.35	Professional		$397.35	$397.35	$397.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $159.63 / $239.45	Professional		$118.46	$159.63	$239.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,571.00	Facility		$7,696.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $164.24 / $350.03	Professional		$102.95	$164.24	$350.03