Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.70 / $2,705.00 / $14,069.00	Facility		$183.70	$2,705.00	$14,069.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $94.69 / $372.00	Professional		$36.25	$94.69	$372.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $99.09 / $241.12	Professional		$87.18	$99.09	$241.12
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 $40.49 / $102.77 / $200.97	Professional		$40.49	$102.77	$200.97
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 $41.18 / $94.89 / $170.48	Professional		$41.18	$94.89	$170.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $98.58 / $202.85	Professional		$40.63	$98.58	$202.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $89.35 / $152.29	Professional		$42.45	$89.35	$152.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $99.53 / $190.54	Professional		$37.52	$99.53	$190.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $169.56 / $185.39	Facility		$55.00	$169.56	$185.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $355.82 / $712.72 / $828.23	Professional		$355.82	$712.72	$828.23
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 $36.47 / $77.89 / $153.86	Facility		$36.47	$77.89	$153.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $99.54 / $205.25	Professional		$41.00	$99.54	$205.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $126.88 / $333.65	Professional		$126.88	$126.88	$333.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $102.62 / $141.10	Professional		$38.26	$102.62	$141.10
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,506.00 / $6,316.00	Facility		$587.00	$1,506.00	$6,316.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $101.18 / $230.79	Professional		$76.68	$101.18	$230.79