Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.57 / $4,013.00 / $15,795.00	Facility		$344.57	$4,013.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.97 / $314.99 / $803.70	Professional		$188.97	$314.99	$803.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $145.60 / $145.60	Professional		$145.60	$145.60	$145.60
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 $185.93 / $291.23 / $647.19	Professional		$185.93	$291.23	$647.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,230.01	Facility		$66.00	$100.00	$5,230.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.61 / $267.52 / $572.55	Professional		$173.61	$267.52	$572.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.08 / $344.32 / $669.57	Professional		$217.08	$344.32	$669.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $289.41 / $541.04	Professional		$107.59	$289.41	$541.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $384.93 / $685.32	Professional		$218.82	$384.93	$685.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,479.84 / $1,510.50	Facility		$55.00	$1,479.84	$1,510.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.32 / $2,603.76 / $3,032.18	Professional		$1,568.32	$2,603.76	$3,032.18
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 $206.99 / $304.91 / $527.96	Facility		$206.99	$304.91	$527.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.75 / $364.21 / $701.44	Professional		$217.75	$364.21	$701.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $706.65 / $706.65 / $1,182.70	Professional		$706.65	$706.65	$1,182.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $203.27 / $409.99	Professional		$120.51	$203.27	$409.99
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 $263.81 / $345.44 / $814.13	Professional		$263.81	$345.44	$814.13