Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $7,000.00 / $18,293.00	Facility		$16.88	$7,000.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $16.88 / $82.19	Professional		$14.40	$16.88	$82.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.43 / $17.57	Professional		$16.43	$16.43	$17.57
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 $14.65 / $19.57 / $46.18	Professional		$14.65	$19.57	$46.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $1,617.80	Facility		$64.40	$100.00	$1,617.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $17.95 / $46.51	Professional		$12.95	$17.95	$46.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $20.73 / $43.07	Professional		$16.19	$20.73	$43.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $20.68 / $25.43	Professional		$12.66	$20.68	$25.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $21.21 / $37.33	Professional		$15.79	$21.21	$37.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $9,102.00 / $11,500.00	Facility		$72.68	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $198.00	Professional		$198.00	$198.00	$198.00
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 $15.60 / $21.83 / $32.31	Facility		$15.60	$21.83	$32.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $21.75 / $43.31	Professional		$16.23	$21.75	$43.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $53.37 / $60.59	Professional		$53.37	$53.37	$60.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $18.23 / $23.54	Professional		$14.18	$18.23	$23.54
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 $14.28 / $18.70 / $42.22	Professional		$14.28	$18.70	$42.22