Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.93 / $5,505.00 / $16,210.00	Facility		$274.93	$5,505.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $233.51 / $490.00	Professional		$137.21	$233.51	$490.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $261.97 / $292.64 / $292.64	Professional		$261.97	$292.64	$292.64
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 $159.69 / $246.80 / $544.13	Professional		$159.69	$246.80	$544.13
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 $160.10 / $231.77 / $477.08	Professional		$160.10	$231.77	$477.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.72 / $280.69 / $550.61	Professional		$183.72	$280.69	$550.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $255.70 / $397.25	Professional		$186.15	$255.70	$397.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.90 / $292.64 / $512.12	Professional		$184.90	$292.64	$512.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,249.20 / $9,102.00 / $11,500.00	Facility		$1,249.20	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.04 / $1,936.16 / $2,252.10	Professional		$1,323.04	$1,936.16	$2,252.10
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 $184.99 / $272.22 / $408.42	Facility		$184.99	$272.22	$408.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.26 / $286.95 / $567.16	Professional		$184.26	$286.95	$567.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $596.60 / $596.60 / $893.53	Professional		$596.60	$596.60	$893.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $260.61 / $367.87	Professional		$186.15	$260.61	$367.87
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 $200.16 / $276.83 / $679.98	Professional		$200.16	$276.83	$679.98