Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.22 / $379.43 / $1,105.48	Professional		$343.22	$379.43	$1,105.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $262.58 / $262.58	Professional		$262.58	$262.58	$262.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,707.00	Facility		$2,143.00	$6,048.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.40 / $743.87 / $1,346.32	Professional		$575.40	$743.87	$1,346.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $8,343.54	Facility		$65.90	$100.00	$8,343.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $279.74 / $413.43 / $921.20	Professional		$279.74	$413.43	$921.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,036.97 / $5,036.97 / $5,952.80	Facility		$5,036.97	$5,036.97	$5,952.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.16 / $490.09 / $1,249.39	Professional		$397.16	$490.09	$1,249.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $328.37 / $390.29 / $5,590.23	Professional		$328.37	$390.29	$5,590.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.26 / $443.84 / $836.51	Professional		$351.26	$443.84	$836.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,448.04 / $22,615.30	Facility		$55.00	$2,448.04	$22,615.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.04 / $2,759.44 / $3,186.98	Professional		$2,691.04	$2,759.44	$3,186.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.22 / $461.59 / $630.26	Facility		$365.22	$461.59	$630.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.71 / $490.09 / $1,134.75	Professional		$393.71	$490.09	$1,134.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,236.06 / $1,236.06 / $1,236.06	Professional		$1,236.06	$1,236.06	$1,236.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $328.37 / $426.88 / $558.23	Professional		$328.37	$426.88	$558.23
United Facility/Professional Facility Modifier Low / Median / High Price $6,426.87 / $13,651.00 / $32,191.00	Facility		$6,426.87	$13,651.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $485.89 / $1,083.18	Professional		$325.39	$485.89	$1,083.18