Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.82 / $6,695.00 / $18,293.00	Facility		$93.82	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $93.89 / $344.05	Professional		$75.61	$93.89	$344.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $115.47 / $134.72	Professional		$108.05	$115.47	$134.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $95.53 / $194.35	Professional		$72.61	$95.53	$194.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,596.84	Facility		$65.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $86.27 / $198.82	Professional		$64.23	$86.27	$198.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $108.78 / $223.12	Professional		$68.18	$108.78	$223.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $70.45 / $176.21	Professional		$48.03	$70.45	$176.21
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $124.60 / $133.54	Professional		$124.60	$124.60	$133.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $118.25 / $221.94	Professional		$52.18	$118.25	$221.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $236.15 / $257.20	Facility		$55.00	$236.15	$257.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $437.39 / $837.36 / $973.95	Professional		$437.39	$837.36	$973.95
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 $59.45 / $99.36 / $169.24	Facility		$59.45	$99.36	$169.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $109.91 / $224.41	Professional		$69.15	$109.91	$224.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $174.36 / $174.36 / $364.30	Professional		$174.36	$174.36	$364.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $67.23 / $133.55	Professional		$48.03	$67.23	$133.55
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,506.00 / $6,316.00	Facility		$570.00	$1,506.00	$6,316.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $105.74 / $268.14	Professional		$78.56	$105.74	$268.14