Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.32 / $5,382.00 / $16,573.00	Facility		$408.32	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $441.13 / $2,072.17	Professional		$313.77	$441.13	$2,072.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.63 / $443.63 / $443.63	Professional		$443.63	$443.63	$443.63
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 $354.59 / $533.02 / $1,056.25	Professional		$354.59	$533.02	$1,056.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,833.23	Facility		$66.00	$100.00	$6,833.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $413.00 / $984.09	Professional		$289.10	$413.00	$984.09
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 $365.42 / $493.02 / $1,043.43	Professional		$365.42	$493.02	$1,043.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $559.97 / $718.56	Professional		$446.76	$559.97	$718.56
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 / $2,747.76 / $16,394.00	Facility		$2,667.72	$2,747.76	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,680.00 / $3,680.00 / $3,680.00	Professional		$3,680.00	$3,680.00	$3,680.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.13 / $559.97 / $915.99	Facility		$443.13	$559.97	$915.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.11 / $534.90 / $1,105.48	Professional		$366.11	$534.90	$1,105.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,285.73 / $1,285.73 / $1,449.22	Professional		$1,285.73	$1,285.73	$1,449.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $424.32 / $563.40 / $845.10	Professional		$424.32	$563.40	$845.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.99 / $435.76 / $1,015.35	Professional		$333.99	$435.76	$1,015.35