Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.63 / $1,800.00 / $4,638.20	Facility		$279.63	$1,800.00	$4,638.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $232.21 / $644.41	Professional		$115.76	$232.21	$644.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.38 / $100.38 / $218.74	Professional		$100.38	$100.38	$218.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.43 / $332.57 / $584.66	Professional		$177.43	$332.57	$584.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $538.99 / $2,455.05	Facility		$59.40	$538.99	$2,455.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $195.78 / $363.55	Professional		$111.12	$195.78	$363.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.51 / $810.70 / $2,447.62	Facility		$659.51	$810.70	$2,447.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $203.09 / $405.44	Professional		$126.82	$203.09	$405.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.88 / $132.97 / $220.52	Professional		$120.88	$132.97	$220.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $162.35 / $279.57	Professional		$107.34	$162.35	$279.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $612.90 / $612.90 / $625.29	Facility		$612.90	$612.90	$625.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.63 / $1,733.60 / $1,785.61	Professional		$671.63	$1,733.60	$1,785.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $186.92 / $374.25	Facility		$109.42	$186.92	$374.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $209.74 / $405.44	Professional		$126.82	$209.74	$405.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $357.81 / $357.81 / $524.91	Professional		$357.81	$357.81	$524.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $175.66 / $263.48	Professional		$109.86	$175.66	$263.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $230.76 / $550.80	Professional		$135.30	$230.76	$550.80