Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.57 / $4,848.00 / $16,109.00	Facility		$180.57	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $161.56 / $677.43	Professional		$111.19	$161.56	$677.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.92 / $189.92 / $189.92	Professional		$189.92	$189.92	$189.92
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 $118.33 / $187.18 / $375.94	Professional		$118.33	$187.18	$375.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,297.78	Facility		$66.00	$100.00	$5,297.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $192.04 / $380.10	Professional		$124.43	$192.04	$380.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $1,726.46 / $2,353.27	Facility		$372.64	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $198.50 / $417.94	Professional		$126.41	$198.50	$417.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $189.92 / $332.02	Professional		$84.51	$189.92	$332.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $209.02 / $376.22	Professional		$133.55	$209.02	$376.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $898.26 / $922.02 / $12,000.00	Facility		$898.26	$922.02	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $953.68 / $1,409.36 / $1,624.43	Professional		$953.68	$1,409.36	$1,624.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.06 / $197.87 / $319.77	Facility		$124.06	$197.87	$319.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $210.25 / $459.57	Professional		$131.22	$210.25	$459.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $429.90 / $429.90 / $645.08	Professional		$429.90	$429.90	$645.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $149.21 / $223.71	Professional		$109.87	$149.21	$223.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,070.50 / $4,060.00 / $9,131.00	Facility		$2,070.50	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $192.15 / $495.18	Professional		$147.74	$192.15	$495.18