Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $4,941.00 / $16,008.00	Facility		$1,038.00	$4,941.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $1,077.49 / $2,170.31	Professional		$62.39	$1,077.49	$2,170.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,014.26 / $1,124.10 / $1,562.46	Professional		$1,014.26	$1,124.10	$1,562.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $129.88 / $3,073.04	Professional		$82.90	$129.88	$3,073.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.16 / $2,073.85 / $2,360.61	Professional	50	$85.16	$2,073.85	$2,360.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,852.64	Facility		$66.00	$100.00	$1,852.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $327.95 / $2,306.98	Professional		$81.59	$327.95	$2,306.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $745.00	Facility		$705.31	$705.31	$745.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $1,294.61 / $2,975.09	Professional		$66.25	$1,294.61	$2,975.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $66.72 / $2,060.89	Professional		$49.42	$66.72	$2,060.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $1,195.32 / $2,535.65	Professional		$43.55	$1,195.32	$2,535.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,736.66 / $2,277.14	Facility		$55.00	$1,736.66	$2,277.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,010.05 / $8,851.89 / $10,631.40	Professional		$4,010.05	$8,851.89	$10,631.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $961.66 / $2,170.91	Facility		$52.01	$961.66	$2,170.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $1,346.86 / $3,510.51	Professional		$67.36	$1,346.86	$3,510.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $178.53 / $178.53 / $4,776.76	Professional		$178.53	$178.53	$4,776.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $88.61 / $1,910.40	Professional		$44.67	$88.61	$1,910.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,218.00 / $9,131.00	Facility		$2,150.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.41 / $1,420.70 / $3,289.89	Professional		$1,114.41	$1,420.70	$3,289.89