Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $2,890.27 / $13,912.90	Facility		$382.81	$2,890.27	$13,912.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $166.15 / $445.00	Professional		$66.11	$166.15	$445.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.05 / $229.77 / $229.77	Professional		$187.05	$229.77	$229.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $126.15 / $272.08	Professional		$79.17	$126.15	$272.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,537.76	Facility		$66.09	$100.00	$1,537.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $107.11 / $230.60	Professional		$74.47	$107.11	$230.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $86.92 / $204.78	Facility		$73.55	$86.92	$204.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $112.16 / $276.64	Professional		$70.63	$112.16	$276.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $77.73 / $143.37	Professional		$48.64	$77.73	$143.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $113.56 / $197.39	Professional		$65.39	$113.56	$197.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $307.24 / $317.30	Facility		$55.00	$307.24	$317.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $474.32 / $852.00 / $921.68	Professional		$474.32	$852.00	$921.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $104.62 / $167.03	Facility		$65.39	$104.62	$167.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $118.45 / $267.72	Professional		$72.14	$118.45	$267.72
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $618.00 / $618.00	Facility		$618.00	$618.00	$618.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $217.49 / $217.49 / $332.90	Professional		$217.49	$217.49	$332.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $70.05 / $144.75	Professional		$48.64	$70.05	$144.75
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $116.40 / $341.59	Professional		$77.72	$116.40	$341.59