Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.90 / $6,640.00 / $17,701.00	Facility		$540.90	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $540.90 / $2,446.17	Professional		$371.00	$540.90	$2,446.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.36 / $260.36 / $260.36	Professional		$260.36	$260.36	$260.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,484.00 / $17,774.00	Facility		$2,275.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.18 / $577.91 / $1,162.83	Professional		$399.18	$577.91	$1,162.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,724.66	Facility		$66.00	$100.00	$9,724.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $341.97 / $488.53 / $1,059.43	Professional		$341.97	$488.53	$1,059.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $2,256.40 / $3,075.60	Facility		$705.31	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.45 / $612.83 / $1,320.26	Professional		$430.45	$612.83	$1,320.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.72 / $652.66 / $969.10	Professional		$331.72	$652.66	$969.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.65 / $635.04 / $1,185.68	Professional		$439.65	$635.04	$1,185.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,130.14 / $3,224.10 / $26,542.00	Facility		$3,130.14	$3,224.10	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,329.52 / $4,233.76 / $4,841.39	Professional		$3,329.52	$4,233.76	$4,841.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.50 / $652.66 / $969.98	Facility		$488.50	$652.66	$969.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $437.39 / $661.84 / $1,388.05	Professional		$437.39	$661.84	$1,388.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,517.79 / $1,517.79 / $1,932.54	Professional		$1,517.79	$1,517.79	$1,932.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $431.24 / $580.33 / $752.98	Professional		$431.24	$580.33	$752.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.63 / $567.76 / $1,298.40	Professional		$437.63	$567.76	$1,298.40