Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.41 / $3,109.04 / $14,970.00	Facility		$283.41	$3,109.04	$14,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $60.32 / $352.29	Professional		$44.97	$60.32	$352.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $300.06 / $300.06	Professional		$241.16	$300.06	$300.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.00 / $4,576.00 / $9,589.00	Facility		$2,115.00	$4,576.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $76.70 / $160.93	Professional		$50.39	$76.70	$160.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $62.40 / $147.22	Professional		$46.40	$62.40	$147.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $71.79 / $163.02	Professional		$51.74	$71.79	$163.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $59.48 / $77.63	Professional		$51.75	$59.48	$77.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $67.73 / $120.27	Professional		$49.12	$67.73	$120.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $189.89 / $240.40 / $240.40	Facility		$189.89	$240.40	$240.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $438.32 / $496.58	Professional		$362.00	$438.32	$496.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.87 / $70.95 / $96.69	Facility		$51.87	$70.95	$96.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $75.19 / $159.66	Professional		$54.08	$75.19	$159.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $160.68 / $194.34	Professional		$160.68	$160.68	$194.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $60.04 / $77.62	Professional		$49.61	$60.04	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $68.91 / $191.04	Professional		$49.08	$68.91	$191.04