Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.62 / $4,399.50 / $16,008.00	Facility		$246.62	$4,399.50	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $65.25 / $298.00	Professional		$42.02	$65.25	$298.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $60.82 / $64.63	Professional		$56.61	$60.82	$64.63
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 $42.53 / $63.62 / $144.60	Professional		$42.53	$63.62	$144.60
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 $40.04 / $57.21 / $122.78	Professional		$40.04	$57.21	$122.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $72.40 / $142.38	Professional		$47.38	$72.40	$142.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $58.87 / $102.74	Professional		$30.53	$58.87	$102.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $75.09 / $133.05	Professional		$45.23	$75.09	$133.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $204.38 / $223.54	Facility		$55.00	$204.38	$223.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $330.32 / $509.28 / $582.75	Professional		$330.32	$509.28	$582.75
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 $44.48 / $64.22 / $102.82	Facility		$44.48	$64.22	$102.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $74.50 / $150.12	Professional		$47.38	$74.50	$150.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $227.81	Professional		$154.47	$154.47	$227.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $50.05 / $77.86	Professional		$34.19	$50.05	$77.86
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,506.00 / $6,316.00	Facility		$570.00	$1,506.00	$6,316.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $70.92 / $155.80	Professional		$52.68	$70.92	$155.80