Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $5,813.70 / $16,196.79	Facility		$621.00	$5,813.70	$16,196.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.18 / $406.87 / $1,002.00	Professional		$323.18	$406.87	$1,002.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $358.50 / $678.13	Professional		$258.77	$358.50	$678.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.83 / $545.41 / $1,079.73	Professional		$362.83	$545.41	$1,079.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $416.35 / $978.49	Professional		$291.45	$416.35	$978.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.99 / $497.45 / $1,048.31	Professional		$362.99	$497.45	$1,048.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $248.70 / $534.57 / $721.67	Professional		$248.70	$534.57	$721.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.98 / $516.65 / $936.68	Professional		$375.98	$516.65	$936.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,667.72 / $2,745.36 / $16,394.00	Facility		$2,667.72	$2,745.36	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,835.68 / $3,214.20 / $3,632.85	Professional		$2,835.68	$3,214.20	$3,632.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $559.97 / $856.00	Facility		$445.00	$559.97	$856.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.66 / $527.92 / $1,099.77	Professional		$363.66	$527.92	$1,099.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,285.73 / $1,285.73 / $1,462.44	Professional		$1,285.73	$1,285.73	$1,462.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.31 / $432.13 / $564.53	Professional		$323.31	$432.13	$564.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.12 / $444.72 / $998.94	Professional		$339.12	$444.72	$998.94