Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $5,495.41 / $16,595.87	Facility		$660.69	$5,495.41	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $69.18 / $346.74	Professional		$25.12	$69.18	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $102.33	Professional		$45.71	$58.88	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $70.79 / $144.54	Professional		$30.20	$70.79	$144.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $64.57 / $128.82	Professional		$29.51	$64.57	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $60.26 / $114.82	Professional		$27.54	$60.26	$114.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $54.95 / $89.13	Professional		$23.44	$54.95	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $60.26 / $120.23	Professional		$20.89	$60.26	$120.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $199.53	Facility		$54.95	$56.23	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $501.19	Professional		$426.58	$501.19	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $48.98 / $93.33	Facility		$21.88	$48.98	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $60.26 / $114.82	Professional		$27.54	$60.26	$114.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $199.53	Professional		$87.10	$87.10	$199.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $66.07 / $87.10	Professional		$21.38	$66.07	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $50.12 / $97.72	Professional		$22.91	$50.12	$97.72