Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.12 / $3,951.37 / $15,747.00	Facility		$132.12	$3,951.37	$15,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $65.30 / $385.60	Professional		$21.03	$65.30	$385.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $52.62 / $107.88	Professional		$43.43	$52.62	$107.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $55.45 / $109.10	Professional		$23.50	$55.45	$109.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $51.10 / $100.00	Professional		$23.88	$51.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $52.43 / $108.68	Professional		$23.57	$52.43	$108.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $48.03 / $75.12	Professional		$24.51	$48.03	$75.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $51.09 / $95.00	Professional		$21.75	$51.09	$95.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $98.42 / $107.26	Facility		$55.00	$98.42	$107.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.18 / $179.33 / $414.08	Professional		$177.18	$179.33	$414.08
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 $21.15 / $42.24 / $75.92	Facility		$21.15	$42.24	$75.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $54.06 / $108.68	Professional		$23.75	$54.06	$108.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $73.45 / $176.84	Professional		$73.45	$73.45	$176.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $53.39 / $72.04	Professional		$22.11	$53.39	$72.04
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 $40.88 / $54.50 / $136.33	Professional		$40.88	$54.50	$136.33