Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.32 / $5,324.00 / $17,013.00	Facility		$438.32	$5,324.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $142.84 / $630.00	Professional		$71.70	$142.84	$630.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $78.65 / $172.41	Professional		$68.09	$78.65	$172.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $137.75 / $306.94	Professional		$93.92	$137.75	$306.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $135.29 / $281.29	Professional		$94.70	$135.29	$281.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $162.24 / $319.36	Professional		$109.61	$162.24	$319.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $150.82 / $238.34	Professional		$67.01	$150.82	$238.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $174.78 / $305.87	Professional		$112.23	$174.78	$305.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $501.09 / $9,102.00 / $11,500.00	Facility		$501.09	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $801.28 / $1,152.00 / $1,335.15	Professional		$801.28	$1,152.00	$1,335.15
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 $101.03 / $149.88 / $238.34	Facility		$101.03	$149.88	$238.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $170.16 / $323.20	Professional		$110.44	$170.16	$323.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $358.90 / $358.90 / $528.40	Professional		$358.90	$358.90	$528.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $115.42 / $180.62	Professional		$75.06	$115.42	$180.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,753.00 / $7,655.00	Facility		$1,410.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.99 / $158.90 / $388.37	Professional		$118.99	$158.90	$388.37