Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.46 / $5,002.00 / $15,572.00	Facility		$436.46	$5,002.00	$15,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $183.02 / $527.83	Professional		$91.76	$183.02	$527.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $186.60 / $246.54	Professional		$87.99	$186.60	$246.54
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 $132.26 / $186.37 / $429.82	Professional		$132.26	$186.37	$429.82
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 $125.33 / $179.04 / $371.22	Professional		$125.33	$179.04	$371.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $216.80 / $445.32	Professional		$152.44	$216.80	$445.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $218.39 / $304.99	Professional		$86.75	$218.39	$304.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $233.72 / $394.01	Professional		$162.97	$233.72	$394.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,095.96 / $9,102.00 / $11,500.00	Facility		$1,095.96	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.52 / $1,491.52 / $1,739.40	Professional		$1,157.52	$1,491.52	$1,739.40
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 $154.16 / $214.77 / $307.02	Facility		$154.16	$214.77	$307.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $228.94 / $445.32	Professional		$155.50	$228.94	$445.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $509.07 / $509.07 / $672.56	Professional		$509.07	$509.07	$672.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $153.40 / $231.07	Professional		$97.16	$153.40	$231.07
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 $155.38 / $203.35 / $493.54	Professional		$155.38	$203.35	$493.54