Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.90 / $5,382.00 / $16,573.00	Facility		$495.90	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.04 / $457.21 / $853.01	Professional		$359.04	$457.21	$853.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $195.02 / $260.95	Professional		$164.41	$195.02	$260.95
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 $492.74 / $661.44 / $1,241.70	Professional		$492.74	$661.44	$1,241.70
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 $326.77 / $466.81 / $1,133.68	Professional		$326.77	$466.81	$1,133.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.64 / $310.29 / $745.00	Facility		$227.64	$310.29	$745.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.24 / $574.82 / $1,062.75	Professional		$361.24	$574.82	$1,062.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $352.74 / $488.76	Professional		$261.29	$352.74	$488.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.06 / $300.02 / $592.24	Professional		$217.06	$300.02	$592.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,716.40 / $1,774.57 / $16,394.00	Facility		$1,716.40	$1,774.57	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,839.00 / $2,991.20 / $3,089.91	Professional		$2,839.00	$2,991.20	$3,089.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.45 / $504.60 / $875.23	Facility		$271.45	$504.60	$875.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.48 / $578.32 / $1,062.75	Professional		$388.48	$578.32	$1,062.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,596.55 / $1,596.55 / $1,728.78	Professional		$1,596.55	$1,596.55	$1,728.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $237.62 / $370.58 / $770.45	Professional		$237.62	$370.58	$770.45
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,495.00 / $6,323.00	Facility		$466.00	$1,495.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.37 / $503.88 / $1,173.70	Professional		$365.37	$503.88	$1,173.70