Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $922.75 / $11,838.00	Facility		$134.83	$922.75	$11,838.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $124.59 / $522.36	Professional		$58.25	$124.59	$522.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $47.85 / $133.62	Professional		$47.85	$47.85	$133.62
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 $88.37 / $134.28 / $250.57	Professional		$88.37	$134.28	$250.57
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 $100.00 / $151.28 / $285.27	Professional		$100.00	$151.28	$285.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $119.98 / $226.72	Professional		$59.80	$119.98	$226.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $79.08 / $163.93	Professional		$58.58	$79.08	$163.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $115.05 / $211.75	Professional		$54.86	$115.05	$211.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $375.96 / $384.54	Facility		$55.00	$375.96	$384.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $918.11 / $952.05	Professional		$499.00	$918.11	$952.05
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 $57.24 / $108.59 / $188.48	Facility		$57.24	$108.59	$188.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $126.36 / $226.72	Professional		$60.41	$126.36	$226.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $178.91 / $178.91 / $361.64	Professional		$178.91	$178.91	$361.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $102.16 / $151.72	Professional		$54.32	$102.16	$151.72
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 $85.05 / $119.36 / $247.56	Professional		$85.05	$119.36	$247.56