Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,361.28 / $6,516.00 / $17,902.00	Facility		$1,361.28	$6,516.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.18 / $538.04 / $1,632.14	Professional		$269.18	$538.04	$1,632.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $220.01 / $521.80	Professional		$220.01	$220.01	$521.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.20 / $450.24 / $1,266.31	Professional		$288.20	$450.24	$1,266.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $552.98 / $4,886.39	Facility		$67.90	$552.98	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $246.26 / $660.09 / $1,293.89	Professional		$246.26	$660.09	$1,293.89
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 $262.79 / $757.42 / $2,202.73	Professional		$262.79	$757.42	$2,202.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $887.44 / $1,332.29	Professional		$255.10	$887.44	$1,332.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.59 / $741.00 / $1,435.37	Professional		$231.59	$741.00	$1,435.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,329.67 / $1,352.15	Facility		$55.00	$1,329.67	$1,352.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,981.48 / $5,677.60 / $6,687.30	Professional		$2,981.48	$5,677.60	$6,687.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $672.41	Professional		$32.34	$32.34	$672.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.10 / $594.50 / $1,319.18	Facility		$255.10	$594.50	$1,319.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.47 / $791.09 / $2,140.96	Professional		$280.47	$791.09	$2,140.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $765.56 / $765.56 / $2,633.70	Professional		$765.56	$765.56	$2,633.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $231.60 / $283.06 / $1,139.33	Professional		$231.60	$283.06	$1,139.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.99 / $865.71 / $2,014.18	Professional		$603.99	$865.71	$2,014.18