Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.18 / $2,786.00 / $14,472.00	Facility		$179.18	$2,786.00	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $54.47 / $222.00	Professional		$28.35	$54.47	$222.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $55.63 / $59.16	Professional		$51.75	$55.63	$59.16
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 $27.48 / $48.34 / $106.27	Professional		$27.48	$48.34	$106.27
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 $28.44 / $45.14 / $99.10	Professional		$28.44	$45.14	$99.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $53.99 / $113.96	Professional		$30.82	$53.99	$113.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $38.24 / $86.16	Professional		$21.22	$38.24	$86.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $59.16 / $109.06	Professional		$29.46	$59.16	$109.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $133.19 / $145.44	Facility		$55.00	$133.19	$145.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $216.13 / $415.20 / $479.78	Professional		$216.13	$415.20	$479.78
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 $28.36 / $46.18 / $85.33	Facility		$28.36	$46.18	$85.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $56.96 / $115.45	Professional		$30.85	$56.96	$115.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $99.20 / $182.14	Professional		$99.20	$99.20	$182.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $34.79 / $65.30	Professional		$23.77	$34.79	$65.30
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $55.64 / $133.69	Professional		$42.23	$55.64	$133.69