Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.70 / $5,324.00 / $16,573.00	Facility		$366.70	$5,324.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.02 / $369.12 / $962.09	Professional		$303.02	$369.12	$962.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $268.14 / $319.48	Professional		$268.14	$268.14	$319.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,694.00 / $11,233.00	Facility		$2,097.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.02 / $485.59 / $901.93	Professional		$323.02	$485.59	$901.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $242.26 / $346.60 / $825.11	Professional		$242.26	$346.60	$825.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.74 / $558.13 / $745.00	Facility		$418.74	$558.13	$745.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.27 / $434.26 / $967.96	Professional		$313.27	$434.26	$967.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $242.74 / $465.37 / $571.13	Professional		$242.74	$465.37	$571.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.06 / $467.38 / $846.93	Professional		$340.06	$467.38	$846.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,807.35 / $2,892.47 / $16,394.00	Facility		$2,807.35	$2,892.47	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,555.84 / $2,896.48 / $3,187.95	Professional		$2,555.84	$2,896.48	$3,187.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.17 / $481.33 / $797.76	Facility		$381.17	$481.33	$797.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $466.83 / $1,005.91	Professional		$317.20	$466.83	$1,005.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,169.16 / $1,169.16 / $1,289.36	Professional		$1,169.16	$1,169.16	$1,289.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $315.56 / $408.09 / $521.76	Professional		$315.56	$408.09	$521.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,699.00 / $7,655.00	Facility		$1,046.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.73 / $390.30 / $880.91	Professional		$296.73	$390.30	$880.91