Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.68 / $2,448.00 / $13,782.00	Facility		$117.68	$2,448.00	$13,782.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $82.62 / $322.95	Professional		$42.06	$82.62	$322.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $113.32 / $113.39	Professional		$113.32	$113.32	$113.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,849.00 / $11,400.00	Facility		$2,143.00	$5,849.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $68.34 / $192.15	Professional		$38.15	$68.34	$192.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.48 / $154.93 / $200.89	Professional	50	$81.48	$154.93	$200.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $81.45 / $166.26	Professional		$50.53	$81.45	$166.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $96.62 / $238.92	Professional		$55.16	$96.62	$238.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $103.87 / $195.26	Professional		$68.63	$103.87	$195.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $133.13 / $246.26	Professional		$60.92	$133.13	$246.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $282.72 / $2,463.30 / $16,394.00	Facility		$282.72	$2,463.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $929.04 / $1,085.40	Professional		$629.00	$929.04	$1,085.40
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 $58.95 / $101.70 / $195.26	Facility		$58.95	$101.70	$195.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $111.89 / $247.04	Professional		$55.29	$111.89	$247.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $198.64 / $198.64 / $417.43	Professional		$198.64	$198.64	$417.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $135.03 / $186.97	Professional		$62.34	$135.03	$186.97
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,830.00	Facility		$587.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $115.34 / $314.50	Professional		$74.15	$115.34	$314.50