Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.72 / $3,363.00 / $14,472.00	Facility		$263.72	$3,363.00	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $88.66 / $359.00	Professional		$65.48	$88.66	$359.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.92 / $92.18 / $195.76	Professional		$83.92	$92.18	$195.76
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 $58.35 / $81.45 / $169.68	Professional		$58.35	$81.45	$169.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,596.84	Facility		$65.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $95.23 / $164.92	Professional		$69.19	$95.23	$164.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $94.67 / $199.32	Professional		$69.54	$94.67	$199.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $110.00 / $140.11	Professional		$31.65	$110.00	$140.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $110.46 / $191.83	Professional		$79.76	$110.46	$191.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.73 / $9,102.00 / $11,500.00	Facility		$352.73	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $563.44 / $673.20 / $778.65	Professional		$563.44	$673.20	$778.65
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 $69.73 / $95.75 / $140.32	Facility		$69.73	$95.75	$140.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $101.67 / $208.26	Professional		$71.00	$101.67	$208.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $243.33 / $243.33 / $293.82	Professional		$243.33	$243.33	$293.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $59.86 / $106.30	Professional		$35.44	$59.86	$106.30
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 $66.42 / $88.20 / $215.88	Professional		$66.42	$88.20	$215.88