Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,423.00 / $18,293.00	Facility		$1,539.00	$6,423.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $314.33 / $1,042.92	Professional		$271.50	$314.33	$1,042.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.48 / $274.48 / $274.48	Professional		$274.48	$274.48	$274.48
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 $362.10 / $490.05 / $926.77	Professional		$362.10	$490.05	$926.77
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 $228.46 / $332.65 / $759.02	Professional		$228.46	$332.65	$759.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.49 / $1,091.68 / $2,915.45	Facility		$470.49	$1,091.68	$2,915.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.31 / $379.48 / $814.75	Professional		$290.31	$379.48	$814.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $311.06 / $477.48	Professional		$252.42	$311.06	$477.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.04 / $341.48 / $652.12	Professional		$260.04	$341.48	$652.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,543.20 / $4,901.45 / $16,394.00	Facility		$1,543.20	$4,901.45	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,230.64 / $2,230.64 / $2,318.40	Professional		$2,230.64	$2,230.64	$2,318.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $369.80	Professional		$32.34	$32.34	$369.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.87 / $373.27 / $629.00	Facility		$282.87	$373.27	$629.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.11 / $399.91 / $766.78	Professional		$293.11	$399.91	$766.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $929.93 / $929.93 / $929.93	Professional		$929.93	$929.93	$929.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $345.33 / $454.35	Professional		$252.42	$345.33	$454.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,928.00 / $9,131.00	Facility		$1,433.90	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.60 / $324.06 / $701.53	Professional		$229.60	$324.06	$701.53