Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $16,109.00	Facility		$365.00	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $256.19 / $597.54	Professional		$156.12	$256.19	$597.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $126.59 / $147.69	Professional		$126.59	$126.59	$147.69
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 $180.99 / $271.49 / $595.20	Professional		$180.99	$271.49	$595.20
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 $164.96 / $235.65 / $508.26	Professional		$164.96	$235.65	$508.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.15 / $307.81 / $606.60	Professional		$204.15	$307.81	$606.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $279.76 / $434.58	Professional		$183.54	$279.76	$434.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.19 / $321.54 / $562.70	Professional		$212.19	$321.54	$562.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,435.44 / $9,102.00 / $11,500.00	Facility		$1,435.44	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.64 / $2,138.56 / $2,486.03	Professional		$1,520.64	$2,138.56	$2,486.03
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 $205.67 / $291.92 / $434.96	Facility		$205.67	$291.92	$434.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $323.74 / $613.17	Professional		$207.62	$323.74	$613.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $687.63 / $687.63 / $986.96	Professional		$687.63	$687.63	$986.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $292.66 / $402.40	Professional		$196.48	$292.66	$402.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $7,896.00	Facility		$1,410.00	$2,761.00	$7,896.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.69 / $301.08 / $677.04	Professional		$225.69	$301.08	$677.04