Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.00 / $7,765.00 / $18,483.00	Facility		$679.00	$7,765.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.30 / $622.38 / $1,079.00	Professional		$384.30	$622.38	$1,079.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.18 / $285.67 / $288.92	Professional		$267.18	$285.67	$288.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,966.00 / $16,676.00	Facility		$2,275.00	$7,966.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.08 / $851.05 / $1,464.46	Professional		$453.08	$851.05	$1,464.46
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 $454.15 / $648.79 / $1,335.47	Professional		$454.15	$648.79	$1,335.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.38 / $322.20 / $555.00	Facility		$236.38	$322.20	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.72 / $621.75 / $933.48	Professional		$314.72	$621.75	$933.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $262.83 / $359.12 / $466.86	Professional		$262.83	$359.12	$466.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.67 / $357.36 / $692.74	Professional		$264.67	$357.36	$692.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,181.48 / $9,102.00 / $11,500.00	Facility		$2,181.48	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,252.00 / $4,446.43 / $4,446.43	Professional		$3,252.00	$4,446.43	$4,446.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.22 / $527.94 / $1,304.41	Facility		$330.22	$527.94	$1,304.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.17 / $615.86 / $914.97	Professional		$327.17	$615.86	$914.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $902.62 / $902.62 / $978.35	Professional		$902.62	$902.62	$978.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $287.95 / $366.49 / $497.20	Professional		$287.95	$366.49	$497.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,025.00 / $2,678.00 / $7,399.00	Facility		$1,025.00	$2,678.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $437.21 / $996.74	Professional		$242.52	$437.21	$996.74