Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $3,340.00 / $14,970.00	Facility		$287.05	$3,340.00	$14,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $122.03 / $460.19	Professional		$45.50	$122.03	$460.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $123.12 / $270.20	Professional		$94.64	$123.12	$270.20
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 $50.84 / $128.12 / $252.65	Professional		$50.84	$128.12	$252.65
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 $51.70 / $106.42 / $214.41	Professional		$51.70	$106.42	$214.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $124.03 / $258.31	Professional		$50.92	$124.03	$258.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $112.06 / $188.80	Professional		$52.22	$112.06	$188.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $123.32 / $236.72	Professional		$46.73	$123.32	$236.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $211.96 / $229.71	Facility		$55.00	$211.96	$229.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.32 / $885.84 / $1,035.38	Professional		$442.32	$885.84	$1,035.38
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 $45.50 / $97.97 / $190.80	Facility		$45.50	$97.97	$190.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $126.26 / $258.31	Professional		$51.09	$126.26	$258.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $159.13 / $420.00	Professional		$159.13	$159.13	$420.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $127.20 / $174.90	Professional		$47.31	$127.20	$174.90
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $133.13 / $386.27	Professional		$96.39	$133.13	$386.27