Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.33 / $4,749.00 / $16,109.00	Facility		$259.33	$4,749.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $220.05 / $433.45	Professional		$119.04	$220.05	$433.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $143.90 / $252.24	Professional		$117.61	$143.90	$252.24
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 $147.51 / $226.49 / $505.35	Professional		$147.51	$226.49	$505.35
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 $136.81 / $201.96 / $430.44	Professional		$136.81	$201.96	$430.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $258.50 / $520.71	Professional		$165.85	$258.50	$520.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $239.35 / $376.50	Professional		$166.79	$239.35	$376.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.33 / $276.72 / $484.26	Professional		$172.33	$276.72	$484.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $772.06 / $9,102.00 / $11,500.00	Facility		$772.06	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.76 / $1,827.84 / $2,121.23	Professional		$1,233.76	$1,827.84	$2,121.23
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 $168.42 / $241.92 / $376.50	Facility		$168.42	$241.92	$376.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $271.27 / $530.73	Professional		$169.41	$271.27	$530.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $555.95 / $555.95 / $844.47	Professional		$555.95	$555.95	$844.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $233.51 / $348.70	Professional		$166.79	$233.51	$348.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.86 / $255.68 / $580.32	Professional		$190.86	$255.68	$580.32