Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,216.00 / $16,573.00	Facility		$1,335.00	$5,216.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.43 / $381.20 / $996.58	Professional		$311.43	$381.20	$996.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $208.12 / $218.02	Professional		$208.12	$208.12	$218.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,945.00 / $13,707.00	Facility		$2,143.00	$6,945.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.51 / $539.14 / $1,015.51	Professional		$360.51	$539.14	$1,015.51
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 $304.35 / $438.49 / $1,005.30	Professional		$304.35	$438.49	$1,005.30
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 $375.99 / $511.00 / $1,162.00	Professional		$375.99	$511.00	$1,162.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $579.19 / $781.91	Professional		$210.72	$579.19	$781.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.62 / $588.83 / $1,074.81	Professional		$443.62	$588.83	$1,074.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,093.44 / $6,887.55	Facility		$55.00	$2,093.44	$6,887.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.00 / $3,487.04 / $3,829.73	Professional		$3,330.00	$3,487.04	$3,829.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.62 / $608.20 / $824.38	Facility		$467.62	$608.20	$824.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.93 / $577.02 / $1,238.14	Professional		$383.93	$577.02	$1,238.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,427.43 / $1,427.43 / $1,427.43	Professional		$1,427.43	$1,427.43	$1,427.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $265.74 / $379.30 / $643.94	Professional		$265.74	$379.30	$643.94
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $6,920.00	Facility		$545.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.68 / $419.30 / $1,047.58	Professional		$316.68	$419.30	$1,047.58