Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.19 / $2,538.00 / $13,916.00	Facility		$110.19	$2,538.00	$13,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $92.77 / $418.72	Professional		$45.67	$92.77	$418.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $94.22 / $94.22	Professional		$94.22	$94.22	$94.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $84.04 / $190.48	Professional		$48.24	$84.04	$190.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,596.84	Facility		$65.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $85.25 / $177.54	Professional		$59.68	$85.25	$177.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $98.84 / $214.74	Professional		$54.70	$98.84	$214.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $69.16 / $171.85	Professional		$32.02	$69.16	$171.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $117.71 / $217.28	Professional		$53.72	$117.71	$217.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $243.73 / $264.62	Facility		$55.00	$243.73	$264.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $427.37 / $828.08 / $951.23	Professional		$427.37	$828.08	$951.23
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 $53.72 / $85.68 / $166.68	Facility		$53.72	$85.68	$166.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $103.13 / $224.25	Professional		$55.48	$103.13	$224.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $178.47 / $367.20	Professional		$178.47	$178.47	$367.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $54.69 / $130.27	Professional		$35.86	$54.69	$130.27
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $106.76 / $235.59	Professional		$80.62	$106.76	$235.59