Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.92 / $4,848.00 / $16,109.00	Facility		$448.92	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $448.92 / $1,772.00	Professional		$343.67	$448.92	$1,772.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.39 / $465.39 / $465.39	Professional		$465.39	$465.39	$465.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.89 / $574.16 / $1,082.32	Professional		$385.89	$574.16	$1,082.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $299.86 / $428.37 / $1,013.23	Professional		$299.86	$428.37	$1,013.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $513.07 / $555.00	Facility		$372.64	$513.07	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.65 / $530.98 / $1,137.93	Professional		$380.65	$530.98	$1,137.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $560.42 / $695.65	Professional		$210.72	$560.42	$695.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.59 / $562.95 / $1,020.61	Professional		$409.59	$562.95	$1,020.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,381.70 / $9,102.00 / $11,500.00	Facility		$3,381.70	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,078.08 / $3,497.63 / $3,930.38	Professional		$3,078.08	$3,497.63	$3,930.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.10 / $581.70 / $780.69	Facility		$455.10	$581.70	$780.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.08 / $568.91 / $1,222.76	Professional		$388.08	$568.91	$1,222.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,394.57 / $1,394.57 / $1,574.89	Professional		$1,394.57	$1,394.57	$1,574.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $445.66 / $566.24	Professional		$273.94	$445.66	$566.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,679.00 / $7,399.00	Facility		$1,031.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.61 / $472.85 / $1,076.51	Professional		$362.61	$472.85	$1,076.51