Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,206.00 / $16,573.00	Facility		$1,256.22	$5,206.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.74 / $544.77 / $1,680.43	Professional		$323.74	$544.77	$1,680.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $587.44 / $587.44 / $587.44	Professional		$587.44	$587.44	$587.44
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 $528.57 / $770.20 / $1,489.86	Professional		$528.57	$770.20	$1,489.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,591.57	Facility		$66.00	$100.00	$5,591.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $415.81 / $601.41 / $1,383.80	Professional		$415.81	$601.41	$1,383.80
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 $517.91 / $712.13 / $1,585.12	Professional		$517.91	$712.13	$1,585.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $726.60 / $980.91	Professional		$337.30	$726.60	$980.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.65 / $755.15 / $1,421.90	Professional		$566.65	$755.15	$1,421.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,814.37 / $11,500.00 / $12,000.00	Facility		$3,814.37	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,346.72 / $4,503.84 / $4,949.33	Professional		$4,346.72	$4,503.84	$4,949.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $765.17 / $1,198.63	Facility		$630.00	$765.17	$1,198.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $527.27 / $757.14 / $1,625.97	Professional		$527.27	$757.14	$1,625.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,948.34 / $1,948.34 / $1,948.34	Professional		$1,948.34	$1,948.34	$1,948.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $425.37 / $595.51 / $807.60	Professional		$425.37	$595.51	$807.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.41 / $590.20 / $1,474.00	Professional		$454.41	$590.20	$1,474.00