Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,357.00 / $17,902.00	Facility		$1,174.00	$6,357.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $255.37 / $936.00	Professional		$162.80	$255.37	$936.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $286.98	Professional		$147.60	$147.60	$286.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.97 / $372.40 / $798.58	Professional		$222.97	$372.40	$798.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,539.15	Facility		$67.90	$100.00	$6,539.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $416.40 / $860.69	Professional		$188.39	$416.40	$860.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,091.68 / $3,039.51	Facility		$455.00	$1,091.68	$3,039.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $341.78 / $1,019.28	Professional		$184.31	$341.78	$1,019.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $257.27 / $756.28	Professional		$186.59	$257.27	$756.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $410.00 / $785.85	Professional		$168.44	$410.00	$785.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.52 / $1,175.46 / $16,394.00	Facility		$1,148.52	$1,175.46	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.00 / $3,159.52 / $3,713.40	Professional		$1,819.00	$3,159.52	$3,713.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $371.30	Professional		$32.34	$32.34	$371.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.04 / $298.54 / $707.60	Facility		$180.04	$298.54	$707.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.23 / $421.26 / $1,126.54	Professional		$190.23	$421.26	$1,126.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $554.52 / $554.52 / $1,445.31	Professional		$554.52	$554.52	$1,445.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $318.47 / $622.69	Professional		$169.58	$318.47	$622.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $419.90 / $1,068.35	Professional		$189.44	$419.90	$1,068.35