Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.29 / $5,460.00 / $15,234.00	Facility		$460.29	$5,460.00	$15,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $348.91 / $1,297.00	Professional		$237.90	$348.91	$1,297.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.82 / $355.82 / $355.82	Professional		$355.82	$355.82	$355.82
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 $299.54 / $402.77 / $782.23	Professional		$299.54	$402.77	$782.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,854.54	Facility		$66.70	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $197.78 / $296.07 / $691.59	Professional		$197.78	$296.07	$691.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.33 / $335.87 / $739.15	Professional		$249.33	$335.87	$739.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $224.47 / $336.71 / $466.93	Professional		$224.47	$336.71	$466.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.95 / $362.60 / $615.00	Professional		$259.95	$362.60	$615.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,205.11 / $1,285.16 / $20,000.00	Facility		$1,205.11	$1,285.16	$20,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.36 / $2,260.36 / $2,556.67	Professional		$1,849.36	$2,260.36	$2,556.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.70 / $378.26 / $543.55	Facility		$284.70	$378.26	$543.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.94 / $356.16 / $739.15	Professional		$253.94	$356.16	$739.15
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,137.00 / $3,137.00 / $3,137.00	Facility		$3,137.00	$3,137.00	$3,137.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $816.67 / $816.67 / $941.70	Professional		$816.67	$816.67	$941.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $224.47 / $328.91 / $398.86	Professional		$224.47	$328.91	$398.86
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 $222.75 / $333.09 / $947.84	Professional		$222.75	$333.09	$947.84