Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $15,277.00	Facility		$365.00	$4,848.00	$15,277.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $192.23 / $579.33	Professional		$102.67	$192.23	$579.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $102.91 / $112.25	Professional		$101.56	$102.91	$112.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.46 / $193.97 / $446.55	Professional		$134.46	$193.97	$446.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,238.60	Facility		$65.90	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $185.77 / $385.44	Professional		$130.04	$185.77	$385.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $230.18 / $466.66	Professional		$155.72	$230.18	$466.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $226.48 / $332.17	Professional		$88.61	$226.48	$332.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.10 / $249.13 / $429.15	Professional		$170.10	$249.13	$429.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $774.68 / $4,017.35 / $12,000.00	Facility		$774.68	$4,017.35	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.00 / $1,617.12 / $1,906.13	Professional		$1,202.00	$1,617.12	$1,906.13
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 $158.77 / $226.09 / $332.17	Facility		$158.77	$226.09	$332.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $240.88 / $466.66	Professional		$158.44	$240.88	$466.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $530.16 / $530.16 / $732.13	Professional		$530.16	$530.16	$732.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $159.04 / $251.60	Professional		$99.24	$159.04	$251.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $221.90 / $553.41	Professional		$164.94	$221.90	$553.41