Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $4,749.00 / $15,747.00	Facility		$276.02	$4,749.00	$15,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $171.99 / $494.85	Professional		$86.33	$171.99	$494.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $82.70 / $179.45	Professional		$82.20	$82.70	$179.45
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 $122.47 / $172.57 / $393.45	Professional		$122.47	$172.57	$393.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,142.12	Facility		$65.90	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $165.40 / $348.24	Professional		$115.78	$165.40	$348.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.06 / $204.27 / $417.32	Professional		$143.06	$204.27	$417.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $205.82 / $288.58	Professional		$80.04	$205.82	$288.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $218.02 / $370.90	Professional		$152.02	$218.02	$370.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.52 / $9,102.00 / $11,500.00	Facility		$1,019.52	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.24 / $1,395.92 / $1,627.43	Professional		$1,076.24	$1,395.92	$1,627.43
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 $136.19 / $194.28 / $289.20	Facility		$136.19	$194.28	$289.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.82 / $214.66 / $417.32	Professional		$144.82	$214.66	$417.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $475.48 / $475.48 / $630.54	Professional		$475.48	$475.48	$630.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $144.60 / $218.66	Professional		$89.65	$144.60	$218.66
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 $142.02 / $187.93 / $433.74	Professional		$142.02	$187.93	$433.74