Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.86 / $4,941.00 / $16,713.00	Facility		$654.86	$4,941.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $377.11 / $953.02	Professional		$133.09	$377.11	$953.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $363.08 / $644.69	Professional		$169.40	$363.08	$644.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,734.00 / $9,589.00	Facility		$1,787.00	$4,734.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $776.32 / $1,586.78	Professional		$193.15	$776.32	$1,586.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $429.16 / $1,095.24	Professional		$149.55	$429.16	$1,095.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $667.30 / $788.62	Facility		$283.56	$667.30	$788.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $551.27 / $1,317.16	Professional		$160.15	$551.27	$1,317.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $518.24 / $1,181.63	Professional		$174.39	$518.24	$1,181.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $557.58 / $1,155.99	Professional		$162.18	$557.58	$1,155.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,118.46 / $1,142.04	Facility		$55.00	$1,118.46	$1,142.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,536.63 / $4,830.88 / $5,696.33	Professional		$2,536.63	$4,830.88	$5,696.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $569.39	Professional		$32.34	$32.34	$569.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.81 / $474.22 / $1,115.15	Facility		$172.81	$474.22	$1,115.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.51 / $559.21 / $1,702.95	Professional		$164.51	$559.21	$1,702.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $545.53 / $545.53 / $2,328.32	Professional		$545.53	$545.53	$2,328.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $673.71 / $973.07	Professional		$158.24	$673.71	$973.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $12,100.00	Facility		$1,943.00	$4,060.00	$12,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.91 / $769.47 / $1,782.48	Professional		$542.91	$769.47	$1,782.48