Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.50 / $4,932.00 / $14,970.00	Facility		$376.50	$4,932.00	$14,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $159.33 / $706.00	Professional		$79.67	$159.33	$706.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $87.83 / $167.02	Professional		$76.73	$87.83	$167.02
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 $113.57 / $159.34 / $350.44	Professional		$113.57	$159.34	$350.44
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 $105.65 / $150.93 / $313.39	Professional		$105.65	$150.93	$313.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $188.58 / $380.04	Professional		$131.94	$188.58	$380.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $190.76 / $267.36	Professional		$74.09	$190.76	$267.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $202.30 / $345.34	Professional		$141.06	$202.30	$345.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $628.24 / $9,102.00 / $11,500.00	Facility		$628.24	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.32 / $1,296.16 / $1,508.48	Professional		$1,000.32	$1,296.16	$1,508.48
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 $125.00 / $178.32 / $267.36	Facility		$125.00	$178.32	$267.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $198.02 / $388.72	Professional		$133.37	$198.02	$388.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $445.23 / $445.23 / $593.09	Professional		$445.23	$445.23	$593.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $134.02 / $202.58	Professional		$82.98	$134.02	$202.58
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 $133.33 / $178.85 / $407.91	Professional		$133.33	$178.85	$407.91