Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.75 / $4,397.00 / $16,713.00	Facility		$804.75	$4,397.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $200.28 / $778.15	Professional		$166.90	$200.28	$778.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $167.25 / $279.61	Professional		$167.25	$167.25	$279.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,542.00 / $9,596.00	Facility		$1,615.00	$4,542.00	$9,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.74 / $315.00 / $572.91	Professional		$204.74	$315.00	$572.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $226.41 / $552.29	Professional		$146.01	$226.41	$552.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.94 / $245.81 / $736.18	Professional		$187.94	$245.81	$736.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $187.82 / $242.37	Professional		$161.58	$187.82	$242.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $216.07 / $388.59	Professional		$169.04	$216.07	$388.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $391.20 / $836.24	Facility		$55.00	$391.20	$836.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.24 / $1,270.88 / $1,442.78	Professional		$1,242.24	$1,270.88	$1,442.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $216.07 / $300.51	Facility		$172.15	$216.07	$300.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.08 / $253.77 / $560.25	Professional		$189.08	$253.77	$560.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $560.77 / $560.77 / $560.77	Professional		$560.77	$560.77	$560.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $208.37 / $274.68	Professional		$161.58	$208.37	$274.68
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $228.23 / $672.66	Professional		$144.65	$228.23	$672.66