Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.99 / $4,848.00 / $16,008.00	Facility		$346.99	$4,848.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $235.00 / $696.81	Professional		$129.19	$235.00	$696.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $152.12 / $272.52	Professional		$125.99	$152.12	$272.52
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 $165.62 / $248.44 / $552.73	Professional		$165.62	$248.44	$552.73
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 $153.55 / $221.15 / $476.62	Professional		$153.55	$221.15	$476.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.47 / $285.17 / $574.38	Professional		$184.47	$285.17	$574.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $260.16 / $412.48	Professional		$168.28	$260.16	$412.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.35 / $304.24 / $532.41	Professional		$196.35	$304.24	$532.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $902.84 / $9,102.00 / $11,500.00	Facility		$902.84	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.04 / $2,017.84 / $2,341.80	Professional		$1,407.04	$2,017.84	$2,341.80
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 $175.12 / $258.38 / $411.69	Facility		$175.12	$258.38	$411.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.28 / $299.94 / $576.66	Professional		$189.28	$299.94	$576.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $634.05 / $634.05 / $929.79	Professional		$634.05	$634.05	$929.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $182.74 / $275.88 / $381.99	Professional		$182.74	$275.88	$381.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $7,655.00	Facility		$1,410.00	$2,761.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.14 / $280.00 / $617.16	Professional		$209.14	$280.00	$617.16