Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $7,108.00 / $18,293.00	Facility		$115.38	$7,108.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $115.37 / $320.75	Professional		$67.56	$115.37	$320.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $125.97 / $133.26	Professional		$118.63	$125.97	$133.26
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 $67.56 / $111.41 / $255.51	Professional		$67.56	$111.41	$255.51
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 $78.04 / $111.49 / $232.45	Professional		$78.04	$111.49	$232.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $133.68 / $306.69	Professional		$74.39	$133.68	$306.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $86.05 / $213.17	Professional		$50.63	$86.05	$213.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $147.44 / $271.06	Professional		$68.25	$147.44	$271.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $311.83 / $333.74	Facility		$55.00	$311.83	$333.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $540.60 / $1,040.72 / $1,196.03	Professional		$540.60	$1,040.72	$1,196.03
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 $69.58 / $113.52 / $215.41	Facility		$69.58	$113.52	$215.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $136.10 / $308.48	Professional		$75.92	$136.10	$308.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $239.66 / $239.66 / $511.34	Professional		$239.66	$239.66	$511.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $83.01 / $161.56	Professional		$56.71	$83.01	$161.56
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 $106.32 / $147.56 / $375.23	Professional		$106.32	$147.56	$375.23