Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.56 / $4,494.00 / $16,125.00	Facility		$339.56	$4,494.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $282.99 / $883.36	Professional		$182.93	$282.99	$883.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.87 / $171.54 / $171.54	Professional		$165.87	$171.54	$171.54
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 $174.80 / $268.38 / $606.13	Professional		$174.80	$268.38	$606.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $241.23 / $521.40	Professional		$164.08	$241.23	$521.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.62 / $319.52 / $634.45	Professional		$206.62	$319.52	$634.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $276.02 / $497.34	Professional		$103.87	$276.02	$497.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.72 / $360.05 / $638.52	Professional		$208.72	$360.05	$638.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,410.18 / $2,000.00 / $16,394.00	Facility		$1,410.18	$2,000.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.72 / $2,399.36 / $2,799.45	Professional		$1,492.72	$2,399.36	$2,799.45
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 $183.56 / $286.89 / $483.85	Facility		$183.56	$286.89	$483.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.98 / $336.01 / $656.72	Professional		$207.98	$336.01	$656.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $672.79 / $672.79 / $1,073.10	Professional		$672.79	$672.79	$1,073.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $193.87 / $376.85	Professional		$116.34	$193.87	$376.85
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 $240.24 / $319.24 / $789.15	Professional		$240.24	$319.24	$789.15