Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.26 / $4,848.00 / $16,713.00	Facility		$677.26	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $348.30 / $1,042.32	Professional		$60.68	$348.30	$1,042.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $119.28 / $119.28	Professional		$119.28	$119.28	$119.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,357.00 / $10,576.00	Facility		$1,196.00	$5,357.00	$10,576.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $210.93 / $1,477.01	Professional		$78.48	$210.93	$1,477.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,230.50	Facility		$67.90	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $248.73 / $1,441.56	Professional		$65.41	$248.73	$1,441.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $751.55 / $1,698.33	Facility		$495.00	$751.55	$1,698.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $300.08 / $1,403.73	Professional		$69.84	$300.08	$1,403.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $640.36 / $910.63	Professional		$69.44	$640.36	$910.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $534.00 / $1,041.43	Professional		$64.06	$534.00	$1,041.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,033.46 / $1,033.46	Facility		$55.00	$1,033.46	$1,033.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,100.21 / $4,282.53 / $4,783.20	Professional		$2,100.21	$4,282.53	$4,783.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $473.66	Professional		$32.34	$32.34	$473.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $547.61 / $1,065.45	Facility		$67.04	$547.61	$1,065.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $367.08 / $1,493.40	Professional		$72.76	$367.08	$1,493.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $216.12 / $2,241.73	Professional		$216.12	$216.12	$2,241.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $640.36 / $896.50	Professional		$63.05	$640.36	$896.50
United Facility/Professional Facility Modifier Low / Median / High Price $850.11 / $3,928.00 / $9,131.00	Facility		$850.11	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.28 / $764.84 / $1,734.05	Professional		$525.28	$764.84	$1,734.05