Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $6,695.00 / $18,293.00	Facility		$122.22	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $122.21 / $296.64	Professional		$64.34	$122.21	$296.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $142.97 / $142.97	Professional		$142.97	$142.97	$142.97
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 $64.56 / $116.56 / $263.08	Professional		$64.56	$116.56	$263.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $107.82 / $223.39	Professional		$68.52	$107.82	$223.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $135.94 / $314.26	Professional		$73.14	$135.94	$314.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $92.14 / $227.23	Professional		$46.91	$92.14	$227.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $155.63 / $287.05	Professional		$71.48	$155.63	$287.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $323.95 / $351.79	Facility		$55.00	$323.95	$351.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $570.39 / $1,086.72 / $1,265.78	Professional		$570.39	$1,086.72	$1,265.78
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 $68.31 / $116.17 / $224.72	Facility		$68.31	$116.17	$224.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $141.50 / $316.39	Professional		$73.43	$141.50	$316.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $235.90 / $235.90 / $514.79	Professional		$235.90	$235.90	$514.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $76.90 / $172.21	Professional		$52.54	$76.90	$172.21
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 $109.75 / $146.69 / $354.72	Professional		$109.75	$146.69	$354.72