Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $6,695.00 / $18,252.00	Facility		$104.72	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $100.08 / $386.76	Professional		$55.89	$100.08	$386.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $119.34 / $155.87	Professional		$56.01	$119.34	$155.87
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 $57.93 / $101.26 / $228.57	Professional		$57.93	$101.26	$228.57
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 $63.89 / $93.98 / $195.22	Professional		$63.89	$93.98	$195.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $118.10 / $280.33	Professional		$65.36	$118.10	$280.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $78.00 / $204.77	Professional		$39.84	$78.00	$204.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $140.40 / $258.95	Professional		$61.21	$140.40	$258.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $278.55 / $300.25	Facility		$55.00	$278.55	$300.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.88 / $984.08 / $1,138.95	Professional		$512.88	$984.08	$1,138.95
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 $60.10 / $99.27 / $202.72	Facility		$60.10	$99.27	$202.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $125.10 / $293.69	Professional		$65.44	$125.10	$293.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $212.67 / $212.67 / $479.54	Professional		$212.67	$212.67	$479.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $65.31 / $155.19	Professional		$44.62	$65.31	$155.19
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 $96.94 / $134.97 / $364.72	Professional		$96.94	$134.97	$364.72