Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.62 / $3,283.00 / $14,699.00	Facility		$280.62	$3,283.00	$14,699.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $227.81 / $843.97	Professional		$135.00	$227.81	$843.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $256.31 / $269.80	Professional		$128.16	$256.31	$269.80
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 $132.84 / $206.41 / $476.89	Professional		$132.84	$206.41	$476.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $191.26 / $407.53	Professional		$128.07	$191.26	$407.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $242.47 / $499.90	Professional		$153.87	$242.47	$499.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $207.91 / $395.95	Professional		$84.51	$207.91	$395.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $276.69 / $498.66	Professional		$154.90	$276.69	$498.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,042.92 / $1,065.59	Facility		$55.00	$1,042.92	$1,065.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.59 / $1,878.96 / $2,191.58	Professional		$1,103.59	$1,878.96	$2,191.58
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 $136.44 / $216.95 / $380.65	Facility		$136.44	$216.95	$380.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $257.81 / $513.78	Professional		$154.72	$257.81	$513.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $499.66 / $499.66 / $837.46	Professional		$499.66	$499.66	$837.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $149.21 / $300.08	Professional		$94.65	$149.21	$300.08
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.27 / $244.21 / $632.70	Professional		$183.27	$244.21	$632.70