Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $3,026.66 / $13,916.00	Facility		$411.00	$3,026.66	$13,916.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.34 / $58.82 / $411.92	Facility	52	$43.34	$58.82	$411.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $132.28 / $551.10	Professional		$86.57	$132.28	$551.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $228.16 / $228.16	Professional		$228.16	$228.16	$228.16
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 $79.11 / $115.09 / $255.21	Professional		$79.11	$115.09	$255.21
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 $81.45 / $109.73 / $244.35	Professional		$81.45	$109.73	$244.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $137.94 / $264.52	Professional		$95.93	$137.94	$264.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $133.47 / $193.25	Professional		$46.91	$133.47	$193.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $145.51 / $248.96	Professional		$99.35	$145.51	$248.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $443.57 / $495.95	Facility		$55.00	$443.57	$495.95
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $354.86 / $396.76 / $396.76	Facility	52	$354.86	$396.76	$396.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $706.16 / $940.00 / $1,094.40	Professional		$706.16	$940.00	$1,094.40
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 $76.80 / $124.00 / $193.25	Facility		$76.80	$124.00	$193.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $143.61 / $267.86	Professional		$97.88	$143.61	$267.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $311.18 / $311.18 / $431.39	Professional		$311.18	$311.18	$431.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $88.74 / $146.41	Professional		$52.54	$88.74	$146.41
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $131.90 / $328.36	Professional		$96.48	$131.90	$328.36