Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $7,184.00 / $18,293.00	Facility		$790.00	$7,184.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.62 / $600.51 / $1,180.64	Professional		$531.62	$600.51	$1,180.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.39 / $440.45 / $582.05	Professional		$385.39	$440.45	$582.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $696.81 / $696.81 / $696.81	Professional	50	$696.81	$696.81	$696.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.49 / $948.51 / $1,728.99	Professional		$452.49	$948.51	$1,728.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $696.93 / $819.92 / $1,153.50	Professional	50	$696.93	$819.92	$1,153.50
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 $473.21 / $676.01 / $1,540.19	Professional		$473.21	$676.01	$1,540.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $515.51 / $555.00	Facility		$372.64	$515.51	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.45 / $702.25 / $1,320.44	Professional		$493.45	$702.25	$1,320.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $617.17 / $802.83	Professional		$421.82	$617.17	$802.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.44 / $622.30 / $1,179.90	Professional		$473.44	$622.30	$1,179.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,953.74 / $4,074.84	Facility		$55.00	$3,953.74	$4,074.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,599.44 / $3,840.32 / $4,227.08	Professional		$3,599.44	$3,840.32	$4,227.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $756.10 / $1,069.50	Facility		$555.66	$756.10	$1,069.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $516.53 / $744.74 / $1,388.21	Professional		$516.53	$744.74	$1,388.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,638.86 / $1,638.86 / $1,702.57	Professional		$1,638.86	$1,638.86	$1,702.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $590.54 / $797.92	Professional		$498.87	$590.54	$797.92
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 $422.97 / $556.69 / $1,160.97	Professional		$422.97	$556.69	$1,160.97