Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.50 / $2,780.00 / $13,916.00	Facility		$421.50	$2,780.00	$13,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $251.07 / $978.47	Professional		$152.37	$251.07	$978.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $238.17 / $276.00	Professional		$113.23	$238.17	$276.00
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 $155.19 / $234.56 / $536.72	Professional		$155.19	$234.56	$536.72
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 $146.51 / $222.60 / $460.32	Professional		$146.51	$222.60	$460.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $273.33 / $562.12	Professional		$173.20	$273.33	$562.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $230.01 / $423.42	Professional		$94.19	$230.01	$423.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $300.43 / $535.08	Professional		$172.47	$300.43	$535.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,163.09 / $1,191.11	Facility		$55.00	$1,163.09	$1,191.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.04 / $2,025.52 / $2,361.98	Professional		$1,231.04	$2,025.52	$2,361.98
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 $156.22 / $242.35 / $418.26	Facility		$156.22	$242.35	$418.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $289.30 / $562.12	Professional		$176.27	$289.30	$562.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $555.79 / $902.02	Professional		$555.79	$555.79	$902.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $166.30 / $320.88	Professional		$105.49	$166.30	$320.88
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 $202.58 / $268.86 / $598.74	Professional		$202.58	$268.86	$598.74