Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $3,283.00 / $14,970.00	Facility		$275.00	$3,283.00	$14,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $236.01 / $787.11	Professional		$143.12	$236.01	$787.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.68 / $260.95 / $463.85	Professional		$223.68	$260.95	$463.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $215.68 / $482.55	Professional		$139.87	$215.68	$482.55
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 $136.13 / $200.01 / $429.27	Professional		$136.13	$200.01	$429.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $250.14 / $490.60	Professional		$154.40	$250.14	$490.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $196.62 / $395.74	Professional		$93.82	$196.62	$395.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $271.62 / $499.56	Professional		$148.44	$271.62	$499.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,002.72 / $1,020.66	Facility		$55.00	$1,002.72	$1,020.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.68 / $1,887.12 / $2,204.03	Professional		$1,061.68	$1,887.12	$2,204.03
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 $139.49 / $221.95 / $383.87	Facility		$139.49	$221.95	$383.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $261.02 / $521.37	Professional		$155.21	$261.02	$521.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $481.77 / $481.77 / $838.81	Professional		$481.77	$481.77	$838.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $155.36 / $299.89	Professional		$105.08	$155.36	$299.89
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,495.00 / $5,691.00	Facility		$570.00	$1,495.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $246.51 / $556.79	Professional		$188.44	$246.51	$556.79