Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,505.00 / $16,210.00	Facility		$490.00	$5,505.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $151.54 / $531.10	Professional		$76.80	$151.54	$531.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $74.04 / $74.04	Professional		$74.04	$74.04	$74.04
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 $110.51 / $153.30 / $335.35	Professional		$110.51	$153.30	$335.35
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 $103.52 / $147.88 / $315.06	Professional		$103.52	$147.88	$315.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.59 / $182.14 / $376.26	Professional		$129.59	$182.14	$376.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $187.89 / $259.95	Professional		$74.45	$187.89	$259.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $196.64 / $335.78	Professional		$137.75	$196.64	$335.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $922.68 / $9,102.00 / $11,500.00	Facility		$922.68	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $974.40 / $1,251.20 / $1,454.85	Professional		$974.40	$1,251.20	$1,454.85
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 $120.96 / $176.33 / $261.64	Facility		$120.96	$176.33	$261.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $193.62 / $376.26	Professional		$130.88	$193.62	$376.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $430.17 / $430.17 / $568.41	Professional		$430.17	$430.17	$568.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $132.03 / $196.99	Professional		$83.40	$132.03	$196.99
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 $131.32 / $171.51 / $418.08	Professional		$131.32	$171.51	$418.08