Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $3,119.00 / $15,234.00	Facility		$66.22	$3,119.00	$15,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $54.47 / $202.19	Professional		$24.76	$54.47	$202.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $76.98 / $143.99	Professional		$76.98	$76.98	$143.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $30.81 / $4,604.00	Facility		$24.72	$30.81	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $49.54 / $111.76	Professional		$25.52	$49.54	$111.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.35 / $73.48 / $128.22	Professional	50	$35.35	$73.48	$128.22
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 $32.03 / $49.10 / $100.00	Professional		$32.03	$49.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $56.19 / $144.28	Professional		$24.03	$56.19	$144.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $30.38 / $126.46	Professional		$23.68	$30.38	$126.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $79.22 / $157.75	Professional		$21.80	$79.22	$157.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $99.92 / $149.38	Facility		$55.00	$99.92	$149.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.35 / $587.76 / $682.73	Professional		$303.35	$587.76	$682.73
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 $24.76 / $46.49 / $116.57	Facility		$24.76	$46.49	$116.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $56.41 / $158.08	Professional		$24.18	$56.41	$158.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $75.25 / $247.16	Professional		$75.25	$75.25	$247.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $41.50 / $117.18	Professional		$21.51	$41.50	$117.18
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $68.20 / $170.84	Professional		$49.11	$68.20	$170.84