Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.33 / $6,695.00 / $18,293.00	Facility		$99.33	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $99.32 / $471.00	Professional		$56.86	$99.32	$471.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $142.18 / $235.94	Professional		$119.20	$142.18	$235.94
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 $55.30 / $95.06 / $215.81	Professional		$55.30	$95.06	$215.81
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 $59.97 / $87.81 / $184.60	Professional		$59.97	$87.81	$184.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $108.92 / $255.77	Professional		$63.75	$108.92	$255.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $80.98 / $205.13	Professional		$39.46	$80.98	$205.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $140.24 / $258.86	Professional		$62.81	$140.24	$258.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $284.58 / $309.13	Facility		$55.00	$284.58	$309.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $513.03 / $978.56 / $1,139.78	Professional		$513.03	$978.56	$1,139.78
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 $59.75 / $97.50 / $197.37	Facility		$59.75	$97.50	$197.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $117.48 / $263.68	Professional		$64.44	$117.48	$263.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $208.36 / $457.21	Professional		$208.36	$208.36	$457.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $64.70 / $155.46	Professional		$44.20	$64.70	$155.46
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 $90.77 / $126.68 / $349.07	Professional		$90.77	$126.68	$349.07