Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,165.00 / $16,210.00	Facility		$490.00	$5,165.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $285.47 / $854.18	Professional		$172.06	$285.47	$854.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $251.40 / $310.55	Professional		$143.87	$251.40	$310.55
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 $181.59 / $274.48 / $616.32	Professional		$181.59	$274.48	$616.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $6,881.37	Facility		$65.90	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $244.00 / $525.72	Professional		$167.88	$244.00	$525.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.69 / $316.51 / $634.66	Professional		$202.69	$316.51	$634.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $181.68 / $283.74 / $458.00	Professional		$181.68	$283.74	$458.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.73 / $338.52 / $592.41	Professional		$215.73	$338.52	$592.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $992.12 / $2,165.76 / $16,394.00	Facility		$992.12	$2,165.76	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.72 / $2,246.16 / $2,618.25	Professional		$1,544.72	$2,246.16	$2,618.25
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 $197.86 / $294.00 / $457.98	Facility		$197.86	$294.00	$457.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $331.96 / $638.99	Professional		$207.00	$331.96	$638.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $697.03 / $697.03 / $1,034.83	Professional		$697.03	$697.03	$1,034.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.26 / $297.85 / $424.08	Professional		$199.26	$297.85	$424.08
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 $232.18 / $309.72 / $710.42	Professional		$232.18	$309.72	$710.42