Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $6,695.00 / $18,293.00	Facility		$79.50	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.50 / $321.64	Professional		$38.90	$79.50	$321.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $126.46 / $249.84	Professional		$91.70	$126.46	$249.84
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 $37.58 / $75.18 / $170.68	Professional		$37.58	$75.18	$170.68
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 $41.12 / $71.06 / $138.31	Professional		$41.12	$71.06	$138.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $88.86 / $226.54	Professional		$44.92	$88.86	$226.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $58.51 / $174.52	Professional		$32.02	$58.51	$174.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $110.53 / $218.84	Professional		$45.16	$110.53	$218.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $204.38 / $222.78	Facility		$55.00	$204.38	$222.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.63 / $820.72 / $954.53	Professional		$426.63	$820.72	$954.53
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 $42.07 / $73.25 / $165.79	Facility		$42.07	$73.25	$165.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $93.92 / $235.00	Professional		$45.21	$93.92	$235.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $152.07 / $386.49	Professional		$152.07	$152.07	$386.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $52.49 / $132.29	Professional		$35.86	$52.49	$132.29
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $5,830.00	Facility		$548.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $108.57 / $267.11	Professional		$76.51	$108.57	$267.11