Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,505.00 / $16,210.00	Facility		$490.00	$5,505.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.05 / $292.05 / $716.21	Professional		$206.05	$292.05	$716.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $288.08 / $288.08	Professional		$288.08	$288.08	$288.08
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 $204.86 / $307.29 / $677.96	Professional		$204.86	$307.29	$677.96
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 $185.09 / $264.42 / $571.90	Professional		$185.09	$264.42	$571.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $344.91 / $679.82	Professional		$225.59	$344.91	$679.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $209.60 / $314.39 / $491.62	Professional		$209.60	$314.39	$491.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.22 / $364.74 / $638.29	Professional		$240.22	$364.74	$638.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,626.54 / $4,017.35 / $16,394.00	Facility		$1,626.54	$4,017.35	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,721.28 / $2,429.92 / $2,834.55	Professional		$1,721.28	$2,429.92	$2,834.55
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 $234.74 / $337.62 / $496.52	Facility		$234.74	$337.62	$496.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.23 / $362.83 / $687.42	Professional		$226.23	$362.83	$687.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $778.09 / $778.09 / $1,114.69	Professional		$778.09	$778.09	$1,114.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $220.73 / $331.02 / $455.15	Professional		$220.73	$331.02	$455.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $337.65 / $752.25	Professional		$250.90	$337.65	$752.25