Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.33 / $4,848.00 / $16,573.00	Facility		$318.33	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $240.55 / $845.31	Professional		$143.96	$240.55	$845.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.99 / $688.99 / $688.99	Professional		$688.99	$688.99	$688.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.95 / $309.36 / $675.48	Professional		$188.95	$309.36	$675.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $287.20 / $598.67	Professional		$181.22	$287.20	$598.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $280.70 / $637.41	Professional		$159.49	$280.70	$637.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $286.47 / $416.92	Professional		$155.19	$286.47	$416.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $245.80 / $429.71	Professional		$141.18	$245.80	$429.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $800.50 / $824.90	Facility		$55.00	$800.50	$824.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.16 / $1,159.20 / $2,203.34	Professional		$1,026.16	$1,159.20	$2,203.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.33 / $255.05 / $415.38	Facility		$164.33	$255.05	$415.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.82 / $296.01 / $613.41	Professional		$166.82	$296.01	$613.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $474.69 / $474.69 / $784.84	Professional		$474.69	$474.69	$784.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $318.33 / $495.90	Professional		$172.30	$318.33	$495.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $308.86 / $837.33	Professional		$189.84	$308.86	$837.33