Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.20 / $2,509.00 / $13,488.00	Facility		$216.20	$2,509.00	$13,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $151.36 / $568.00	Professional		$82.89	$151.36	$568.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $142.19 / $263.70	Professional		$133.83	$142.19	$263.70
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 $78.02 / $120.37 / $273.30	Professional		$78.02	$120.37	$273.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $131.84 / $267.72	Professional		$86.60	$131.84	$267.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $155.69 / $309.45	Professional		$99.03	$155.69	$309.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $148.44 / $229.27	Professional		$51.75	$148.44	$229.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $167.29 / $293.63	Professional		$109.04	$167.29	$293.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $484.43 / $546.96	Facility		$55.00	$484.43	$546.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $771.12 / $1,093.20 / $1,275.00	Professional		$771.12	$1,093.20	$1,275.00
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 $84.75 / $138.18 / $228.78	Facility		$84.75	$138.18	$228.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $162.56 / $315.77	Professional		$101.26	$162.56	$315.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $340.09 / $340.09 / $504.78	Professional		$340.09	$340.09	$504.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $97.89 / $173.75	Professional		$57.96	$97.89	$173.75
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $147.77 / $385.43	Professional		$112.06	$147.77	$385.43