Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.31 / $4,436.00 / $16,109.00	Facility		$53.31	$4,436.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $48.86 / $138.13	Professional		$25.23	$48.86	$138.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $60.43 / $60.43	Professional		$60.43	$60.43	$60.43
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 $26.82 / $47.03 / $104.94	Professional		$26.82	$47.03	$104.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,617.80	Facility		$65.90	$100.00	$1,617.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $46.42 / $100.00	Professional		$32.49	$46.42	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $53.87 / $112.25	Professional		$29.70	$53.87	$112.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $33.40 / $87.72	Professional		$19.73	$33.40	$87.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $60.06 / $111.32	Professional		$26.49	$60.06	$111.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $128.84 / $129.68	Facility		$55.00	$128.84	$129.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $219.70 / $427.52 / $487.88	Professional		$219.70	$427.52	$487.88
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 $27.03 / $46.46 / $85.08	Facility		$27.03	$46.46	$85.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $55.16 / $114.08	Professional		$30.05	$55.16	$114.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $92.23 / $187.20	Professional		$92.23	$92.23	$187.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $32.25 / $66.48	Professional		$22.10	$32.25	$66.48
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $56.28 / $129.38	Professional		$41.86	$56.28	$129.38