Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,749.00 / $16,573.00	Facility		$365.00	$4,749.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $192.83 / $463.00	Professional		$103.40	$192.83	$463.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $105.75 / $114.23	Professional		$97.91	$105.75	$114.23
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 $150.60 / $210.89 / $470.52	Professional		$150.60	$210.89	$470.52
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 $141.66 / $202.37 / $433.66	Professional		$141.66	$202.37	$433.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $242.51 / $498.55	Professional		$175.15	$242.51	$498.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $246.91 / $336.41	Professional		$99.03	$246.91	$336.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $258.63 / $435.45	Professional		$184.56	$258.63	$435.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.22 / $9,102.00 / $11,500.00	Facility		$1,241.22	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.24 / $1,651.36 / $1,928.03	Professional		$1,310.24	$1,651.36	$1,928.03
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 $178.31 / $245.71 / $340.90	Facility		$178.31	$245.71	$340.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $257.56 / $498.55	Professional		$177.56	$257.56	$498.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $581.16 / $745.87	Professional		$581.16	$581.16	$745.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $174.84 / $254.84	Professional		$110.92	$174.84	$254.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,731.00 / $7,655.00	Facility		$1,198.00	$2,731.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $222.69 / $511.88	Professional		$169.29	$222.69	$511.88