Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.53 / $4,932.00 / $16,125.00	Facility		$598.53	$4,932.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $395.01 / $1,485.70	Professional		$77.29	$395.01	$1,485.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $289.02 / $289.02	Professional		$289.02	$289.02	$289.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,604.00 / $9,274.00	Facility		$2,145.00	$4,604.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $577.29 / $1,137.42	Professional		$88.51	$577.29	$1,137.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $343.48 / $917.42	Professional		$91.00	$343.48	$917.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $314.89 / $927.47	Professional		$88.41	$314.89	$927.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $492.55 / $591.05	Professional		$90.59	$492.55	$591.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $328.65 / $683.88	Professional		$82.30	$328.65	$683.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $755.92 / $774.08	Facility		$55.00	$755.92	$774.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.05 / $2,523.76 / $2,950.35	Professional		$1,306.05	$2,523.76	$2,950.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $270.48 / $585.91	Facility		$80.58	$270.48	$585.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $297.56 / $915.37	Professional		$89.87	$297.56	$915.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $279.97 / $279.97 / $1,527.81	Professional		$279.97	$279.97	$1,527.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $385.78 / $738.83	Professional		$73.15	$385.78	$738.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,464.00 / $2,849.00 / $7,655.00	Facility		$1,464.00	$2,849.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.68 / $487.92 / $1,135.58	Professional		$346.68	$487.92	$1,135.58