Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,812.00 / $16,210.00	Facility		$490.00	$5,812.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $324.07 / $1,219.07	Professional		$158.13	$324.07	$1,219.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,598.60 / $1,598.60 / $1,598.60	Professional		$1,598.60	$1,598.60	$1,598.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $339.51 / $749.50	Professional		$175.43	$339.51	$749.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $287.95 / $569.50	Professional		$152.30	$287.95	$569.50
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 $162.22 / $336.19 / $847.24	Professional		$162.22	$336.19	$847.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $185.05 / $457.44	Professional		$126.58	$185.05	$457.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.36 / $315.32 / $570.32	Professional		$152.36	$315.32	$570.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $777.93 / $777.93 / $16,394.00	Facility		$777.93	$777.93	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $2,569.80 / $3,913.13	Professional		$1,262.00	$2,569.80	$3,913.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $304.69 / $520.64	Facility		$153.33	$304.69	$520.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $357.67 / $830.38	Professional		$164.96	$357.67	$830.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $493.76 / $493.76 / $1,069.58	Professional		$493.76	$493.76	$1,069.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $186.75 / $423.67	Professional		$126.58	$186.75	$423.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,038.00 / $9,131.00	Facility		$1,943.00	$4,038.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.48 / $403.04 / $1,005.30	Professional		$256.48	$403.04	$1,005.30