Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $4,704.00 / $16,125.00	Facility		$74.02	$4,704.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $64.01 / $116.20	Professional		$28.54	$64.01	$116.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $69.72 / $69.72	Professional		$69.72	$69.72	$69.72
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 $33.10 / $75.47 / $150.91	Professional		$33.10	$75.47	$150.91
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 $33.65 / $68.95 / $124.14	Professional		$33.65	$68.95	$124.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $72.31 / $147.16	Professional		$33.14	$72.31	$147.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $64.78 / $106.46	Professional		$34.10	$64.78	$106.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $72.43 / $134.02	Professional		$30.40	$72.43	$134.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $137.78 / $149.66	Facility		$55.00	$137.78	$149.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $250.50 / $505.12 / $587.92	Professional		$250.50	$505.12	$587.92
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 $29.62 / $58.48 / $107.58	Facility		$29.62	$58.48	$107.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $75.56 / $147.16	Professional		$33.36	$75.56	$147.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $103.90 / $239.75	Professional		$103.90	$103.90	$239.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $72.55 / $98.62	Professional		$30.85	$72.55	$98.62
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 $55.08 / $73.62 / $182.63	Professional		$55.08	$73.62	$182.63