Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,382.00 / $16,573.00	Facility		$462.00	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $183.88 / $502.12	Professional		$112.37	$183.88	$502.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $190.03 / $190.03	Professional		$190.03	$190.03	$190.03
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 $105.25 / $171.53 / $386.23	Professional		$105.25	$171.53	$386.23
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 $98.10 / $154.56 / $318.14	Professional		$98.10	$154.56	$318.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $199.46 / $412.94	Professional		$124.37	$199.46	$412.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $181.56 / $306.04	Professional		$126.58	$181.56	$306.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $220.94 / $391.25	Professional		$129.78	$220.94	$391.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $873.48 / $9,102.00 / $11,500.00	Facility		$873.48	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $923.76 / $1,462.96 / $1,706.70	Professional		$923.76	$1,462.96	$1,706.70
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 $118.98 / $186.54 / $302.18	Facility		$118.98	$186.54	$302.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $209.75 / $412.94	Professional		$125.46	$209.75	$412.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $411.52 / $411.52 / $673.59	Professional		$411.52	$411.52	$673.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $177.21 / $283.45	Professional		$126.58	$177.21	$283.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,753.00 / $7,655.00	Facility		$1,410.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $198.56 / $512.91	Professional		$151.19	$198.56	$512.91