Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.16 / $5,657.63 / $16,573.00	Facility		$449.16	$5,657.63	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.13 / $294.95 / $819.98	Professional		$228.13	$294.95	$819.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $300.68 / $320.31	Professional		$283.14	$300.68	$320.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.54 / $313.23 / $671.40	Professional		$230.54	$313.23	$671.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,010.49	Facility		$65.90	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.37 / $284.82 / $623.45	Professional		$199.37	$284.82	$623.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $353.18 / $722.05	Professional		$257.13	$353.18	$722.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $240.13 / $360.20 / $471.30	Professional		$240.13	$360.20	$471.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.87 / $373.26 / $637.15	Professional		$269.87	$373.26	$637.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,855.32 / $6,817.20 / $16,394.00	Facility		$1,855.32	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,959.44 / $2,384.16 / $2,790.45	Professional		$1,959.44	$2,384.16	$2,790.45
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 $263.47 / $362.29 / $486.45	Facility		$263.47	$362.29	$486.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $368.92 / $736.45	Professional		$257.13	$368.92	$736.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $890.20 / $890.20 / $1,099.38	Professional		$890.20	$890.20	$1,099.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $345.23 / $436.17	Professional		$251.12	$345.23	$436.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.44 / $337.05 / $752.20	Professional		$252.44	$337.05	$752.20