Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.52 / $3,713.00 / $15,522.00	Facility		$372.52	$3,713.00	$15,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $270.37 / $909.41	Professional		$139.69	$270.37	$909.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $159.06 / $352.19	Professional		$131.85	$159.06	$352.19
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 $165.16 / $255.20 / $581.59	Professional		$165.16	$255.20	$581.59
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 $159.47 / $231.95 / $500.10	Professional		$159.47	$231.95	$500.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.30 / $303.83 / $608.58	Professional		$199.30	$303.83	$608.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $265.64 / $461.71	Professional		$99.78	$265.64	$461.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.67 / $334.49 / $592.45	Professional		$199.67	$334.49	$592.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $712.97 / $1,375.92	Facility		$142.00	$712.97	$1,375.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.04 / $2,228.32 / $2,590.28	Professional		$1,429.04	$2,228.32	$2,590.28
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 $176.91 / $273.33 / $453.53	Facility		$176.91	$273.33	$453.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.57 / $315.13 / $610.40	Professional		$200.57	$315.13	$610.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $646.79 / $646.79 / $995.42	Professional		$646.79	$646.79	$995.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $186.61 / $349.88	Professional		$111.75	$186.61	$349.88
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 $222.04 / $295.83 / $757.98	Professional		$222.04	$295.83	$757.98