Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,545.00 / $17,701.00	Facility		$1,017.00	$5,545.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $253.23 / $1,395.91	Professional		$123.71	$253.23	$1,395.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $89.35 / $101.81	Professional		$89.35	$89.35	$101.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.54 / $408.84 / $1,010.29	Professional		$159.54	$408.84	$1,010.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $365.11 / $4,886.39	Facility		$67.90	$365.11	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $517.12 / $965.01	Professional		$106.75	$517.12	$965.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $2,656.00	Facility		$633.00	$900.00	$2,656.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $568.64 / $1,780.12	Professional		$116.38	$568.64	$1,780.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $858.19 / $1,115.65	Professional		$112.78	$858.19	$1,115.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $550.00 / $1,180.38	Professional		$100.34	$550.00	$1,180.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $585.10 / $1,071.64	Facility		$55.00	$585.10	$1,071.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,391.17 / $4,599.43 / $5,427.38	Professional		$2,391.17	$4,599.43	$5,427.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $540.98	Professional		$32.34	$32.34	$540.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.40 / $291.20 / $1,091.93	Facility		$111.40	$291.20	$1,091.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $624.91 / $1,734.16	Professional		$125.01	$624.91	$1,734.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $330.37 / $330.37 / $2,120.38	Professional		$330.37	$330.37	$2,120.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.68 / $125.20 / $954.40	Professional		$101.68	$125.20	$954.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,786.00 / $9,072.00	Facility		$1,089.45	$3,786.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.93 / $694.59 / $1,741.84	Professional		$494.93	$694.59	$1,741.84