Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.24 / $931.11 / $11,790.00	Facility		$130.24	$931.11	$11,790.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $114.74 / $556.37	Professional		$60.49	$114.74	$556.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $116.92 / $116.92	Professional		$116.92	$116.92	$116.92
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 $94.86 / $137.24 / $265.52	Professional		$94.86	$137.24	$265.52
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 $101.03 / $152.19 / $290.20	Professional		$101.03	$152.19	$290.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $122.00 / $230.83	Professional		$62.85	$122.00	$230.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $83.23 / $165.96	Professional		$61.65	$83.23	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $116.92 / $215.74	Professional		$57.39	$116.92	$215.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $396.36 / $407.88	Facility		$55.00	$396.36	$407.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $923.60 / $968.48	Professional		$499.00	$923.60	$968.48
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 $61.14 / $114.56 / $192.70	Facility		$61.14	$114.56	$192.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $126.99 / $230.83	Professional		$63.57	$126.99	$230.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $190.03 / $361.94	Professional		$190.03	$190.03	$361.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $104.24 / $153.59	Professional		$57.22	$104.24	$153.59
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 $85.68 / $121.65 / $275.61	Professional		$85.68	$121.65	$275.61