Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $6,229.00 / $17,809.00	Facility		$87.01	$6,229.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.71 / $538.26	Professional		$45.71	$95.71	$538.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $119.34 / $261.80	Professional		$58.89	$119.34	$261.80
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 $44.51 / $81.78 / $187.22	Professional		$44.51	$81.78	$187.22
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 $55.16 / $98.70 / $183.52	Professional		$55.16	$98.70	$183.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $97.41 / $237.19	Professional		$51.25	$97.41	$237.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.59 / $182.39	Professional		$33.88	$66.59	$182.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $119.16 / $229.39	Professional		$51.50	$119.16	$229.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $233.11 / $253.75	Facility		$55.00	$233.11	$253.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.93 / $863.36 / $1,005.38	Professional		$450.93	$863.36	$1,005.38
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 $48.42 / $83.38 / $174.88	Facility		$48.42	$83.38	$174.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $102.29 / $246.67	Professional		$51.84	$102.29	$246.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $170.80 / $405.22	Professional		$170.80	$170.80	$405.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $55.54 / $138.24	Professional		$37.94	$55.54	$138.24
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 $79.42 / $113.85 / $298.89	Professional		$79.42	$113.85	$298.89