Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $1,169.00 / $10,061.00	Facility		$174.27	$1,169.00	$10,061.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $106.78 / $434.00	Professional		$46.78	$106.78	$434.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.95 / $91.95 / $91.95	Professional		$91.95	$91.95	$91.95
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 $84.85 / $126.42 / $236.49	Professional		$84.85	$126.42	$236.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $110.91 / $209.66	Professional		$66.04	$110.91	$209.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $102.97 / $206.10	Professional		$47.93	$102.97	$206.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $69.98 / $138.47	Professional		$47.47	$69.98	$138.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $96.51 / $181.00	Professional		$43.99	$96.51	$181.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $302.04 / $310.92	Facility		$55.00	$302.04	$310.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $796.13 / $895.28	Professional		$413.00	$796.13	$895.28
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 $46.78 / $96.51 / $168.98	Facility		$46.78	$96.51	$168.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $107.31 / $207.00	Professional		$48.34	$107.31	$207.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $143.72 / $297.60	Professional		$143.72	$143.72	$297.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $93.23 / $128.19	Professional		$43.83	$93.23	$128.19
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,523.00 / $5,830.00	Facility		$587.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $101.79 / $226.80	Professional		$70.56	$101.79	$226.80