Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.65 / $4,177.26 / $15,522.00	Facility		$178.65	$4,177.26	$15,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $143.55 / $584.00	Professional		$73.50	$143.55	$584.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $115.62 / $115.62	Professional		$115.62	$115.62	$115.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.77 / $85.72 / $4,604.00	Facility		$68.77	$85.72	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $121.46 / $256.02	Professional		$74.09	$121.46	$256.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,596.84	Facility		$65.80	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $123.42 / $234.90	Professional		$85.08	$123.42	$234.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $124.71 / $235.30	Professional		$75.23	$124.71	$235.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $132.28 / $250.63	Professional		$67.93	$132.28	$250.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $102.85 / $193.07	Professional		$62.54	$102.85	$193.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $286.08 / $303.86	Facility		$55.00	$286.08	$303.86
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $28.61 / $30.39 / $30.39	Facility	AS	$28.61	$30.39	$30.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.16 / $726.48 / $854.10	Professional		$450.16	$726.48	$854.10
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 $70.37 / $106.51 / $167.72	Facility		$70.37	$106.51	$167.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $32.86 / $32.86 / $32.86	Facility	AS	$32.86	$32.86	$32.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $127.27 / $243.40	Professional		$77.13	$127.27	$243.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $205.66 / $205.66 / $337.89	Professional		$205.66	$205.66	$337.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $133.54 / $313.29	Professional		$61.63	$133.54	$313.29
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $116.10 / $231.94	Professional		$82.88	$116.10	$231.94