Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.63 / $4,704.00 / $16,109.00	Facility		$425.63	$4,704.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $384.33 / $881.39	Professional		$214.07	$384.33	$881.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $515.21 / $721.29	Professional	50	$300.00	$515.21	$721.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.19 / $385.19 / $385.19	Professional		$385.19	$385.19	$385.19
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 $248.96 / $386.59 / $904.92	Professional		$248.96	$386.59	$904.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $493.70 / $592.92 / $658.81	Professional	50	$493.70	$592.92	$658.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $258.79 / $432.16 / $835.85	Professional		$258.79	$432.16	$835.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.64 / $303.42 / $705.31	Facility		$227.64	$303.42	$705.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $454.99 / $1,022.87	Professional		$256.50	$454.99	$1,022.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $297.79 / $494.04 / $723.61	Professional		$297.79	$494.04	$723.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.59 / $439.08 / $820.96	Professional		$255.59	$439.08	$820.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,730.22 / $1,775.28	Facility		$55.00	$1,730.22	$1,775.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.00 / $3,547.58 / $4,283.00	Professional		$2,648.00	$3,547.58	$4,283.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.95 / $479.50 / $741.14	Facility		$302.95	$479.50	$741.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.92 / $486.26 / $1,121.18	Professional		$257.92	$486.26	$1,121.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $835.03 / $835.03 / $1,442.12	Professional		$835.03	$835.03	$1,442.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $595.91 / $934.54	Professional		$270.76	$595.91	$934.54
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 $337.96 / $431.41 / $992.21	Professional		$337.96	$431.41	$992.21