Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.52 / $6,342.00 / $17,701.00	Facility		$1,256.52	$6,342.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.05 / $172.44 / $687.57	Professional		$144.05	$172.44	$687.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.83 / $226.21 / $294.12	Professional		$136.83	$226.21	$294.12
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 $206.65 / $290.00 / $555.45	Professional		$206.65	$290.00	$555.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,564.23	Facility		$67.90	$100.00	$6,564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $190.39 / $435.68	Professional		$130.68	$190.39	$435.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,091.68 / $2,915.45	Facility		$455.00	$1,091.68	$2,915.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $221.18 / $484.50	Professional		$163.61	$221.18	$484.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $193.24 / $338.04	Professional		$175.67	$193.24	$338.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $194.11 / $395.26	Professional		$146.74	$194.11	$395.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $864.30 / $4,901.45 / $16,394.00	Facility		$864.30	$4,901.45	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,157.98 / $2,157.98 / $2,157.98	Professional		$2,157.98	$2,157.98	$2,157.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $225.51	Professional		$32.34	$32.34	$225.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.24 / $210.80 / $392.90	Facility		$159.24	$210.80	$392.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $235.89 / $437.00	Professional		$167.19	$235.89	$437.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $518.82 / $518.82 / $518.82	Professional		$518.82	$518.82	$518.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.01 / $195.04 / $321.67	Professional		$159.01	$195.04	$321.67
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 $130.71 / $181.81 / $414.24	Professional		$130.71	$181.81	$414.24