Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.62 / $4,848.00 / $16,109.00	Facility		$693.62	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.60 / $743.63 / $1,908.00	Professional		$549.60	$743.63	$1,908.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.11 / $616.11 / $636.13	Professional		$616.11	$616.11	$636.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,617.00 / $9,381.00	Facility		$1,723.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.80 / $870.08 / $1,749.91	Professional		$578.80	$870.08	$1,749.91
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 $470.83 / $672.61 / $1,491.52	Professional		$470.83	$672.61	$1,491.52
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 $581.54 / $823.66 / $1,757.71	Professional		$581.54	$823.66	$1,757.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $897.15 / $1,211.15	Professional		$505.96	$897.15	$1,211.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.22 / $850.37 / $1,507.97	Professional		$605.22	$850.37	$1,507.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,002.89 / $5,156.62 / $12,000.00	Facility		$5,002.89	$5,156.62	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,556.39 / $5,516.40 / $6,062.55	Professional		$4,556.39	$5,516.40	$6,062.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $738.71 / $927.03 / $1,286.51	Facility		$738.71	$927.03	$1,286.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.38 / $881.83 / $1,844.68	Professional		$593.38	$881.83	$1,844.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,073.02 / $2,073.02 / $2,438.46	Professional		$2,073.02	$2,073.02	$2,438.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $815.92 / $997.24	Professional		$638.04	$815.92	$997.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.29 / $731.50 / $2,025.84	Professional		$564.29	$731.50	$2,025.84