Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.23 / $5,382.00 / $16,573.00	Facility		$308.23	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $255.31 / $732.14	Professional		$149.21	$255.31	$732.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $153.63 / $232.82	Professional		$153.63	$153.63	$232.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $274.23 / $641.33	Professional		$171.96	$274.23	$641.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $356.40 / $468.90 / $578.67	Professional	50	$356.40	$468.90	$578.67
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 $175.40 / $297.20 / $594.66	Professional		$175.40	$297.20	$594.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $317.05 / $651.79	Professional		$171.92	$317.05	$651.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $261.86 / $559.17	Professional		$155.62	$261.86	$559.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $335.97 / $625.00	Professional		$185.00	$335.97	$625.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.16 / $1,282.92 / $16,394.00	Facility		$1,247.16	$1,282.92	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.24 / $2,446.88 / $2,709.00	Professional		$1,326.24	$2,446.88	$2,709.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.77 / $296.63 / $523.36	Facility		$181.77	$296.63	$523.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $340.08 / $785.46	Professional		$175.61	$340.08	$785.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $600.62 / $600.62 / $1,082.68	Professional		$600.62	$600.62	$1,082.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $255.13 / $376.82	Professional		$191.34	$255.13	$376.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.63 / $321.64 / $798.13	Professional		$252.63	$321.64	$798.13