Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,950.00 / $16,125.00	Facility		$344.00	$4,950.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $253.71 / $564.70	Professional		$180.20	$253.71	$564.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.86 / $145.86 / $145.86	Professional		$145.86	$145.86	$145.86
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 $192.68 / $264.55 / $596.42	Professional		$192.68	$264.55	$596.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $180.29 / $257.56 / $561.55	Professional		$180.29	$257.56	$561.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.68 / $302.19 / $622.69	Professional		$218.68	$302.19	$622.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $122.86 / $307.02 / $412.90	Professional		$122.86	$307.02	$412.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.25 / $320.89 / $542.32	Professional		$229.25	$320.89	$542.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,566.72 / $4,017.35 / $12,000.00	Facility		$1,566.72	$4,017.35	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.00 / $2,054.80 / $2,403.08	Professional		$1,654.00	$2,054.80	$2,403.08
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 $227.17 / $307.48 / $427.15	Facility		$227.17	$307.48	$427.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.14 / $321.01 / $625.27	Professional		$223.14	$321.01	$625.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $738.64 / $738.64 / $930.98	Professional		$738.64	$738.64	$930.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $216.91 / $312.72	Professional		$137.60	$216.91	$312.72
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 $213.72 / $283.14 / $622.14	Professional		$213.72	$283.14	$622.14