Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,679.00 / $16,210.00	Facility		$490.00	$5,679.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $344.95 / $709.35	Professional		$243.50	$344.95	$709.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.90 / $370.90 / $370.90	Professional		$370.90	$370.90	$370.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.83 / $373.38 / $827.88	Professional		$252.83	$373.38	$827.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,010.49	Facility		$65.90	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $244.17 / $348.81 / $720.21	Professional		$244.17	$348.81	$720.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $419.41 / $825.20	Professional		$290.20	$419.41	$825.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $269.55 / $393.61 / $584.17	Professional		$269.55	$393.61	$584.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $436.35 / $763.61	Professional		$292.57	$436.35	$763.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,983.48 / $6,817.20 / $16,394.00	Facility		$1,983.48	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.60 / $2,919.12 / $3,432.45	Professional		$2,093.60	$2,919.12	$3,432.45
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 $297.37 / $416.53 / $589.87	Facility		$297.37	$416.53	$589.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $438.29 / $826.77	Professional		$292.57	$438.29	$826.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $950.38 / $950.38 / $1,337.47	Professional		$950.38	$950.38	$1,337.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $269.55 / $393.22 / $540.66	Professional		$269.55	$393.22	$540.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $418.34 / $1,110.38	Professional		$305.02	$418.34	$1,110.38