Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $16,008.00	Facility		$365.00	$4,848.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $98.92 / $505.00	Professional		$66.68	$98.92	$505.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $115.14 / $115.14	Professional		$115.14	$115.14	$115.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $96.23 / $216.39	Professional		$64.94	$96.23	$216.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,238.60	Facility		$65.80	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $94.43 / $194.36	Professional		$66.09	$94.43	$194.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $115.13 / $236.46	Professional		$73.69	$115.13	$236.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $90.45 / $167.63	Professional		$50.26	$90.45	$167.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $118.21 / $241.00	Professional		$71.19	$118.21	$241.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.95 / $1,888.70 / $12,000.00	Facility		$323.95	$1,888.70	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.96 / $830.32 / $974.93	Professional		$512.96	$830.32	$974.93
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 $71.90 / $105.22 / $167.83	Facility		$71.90	$105.22	$167.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $120.97 / $244.80	Professional		$74.06	$120.97	$244.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $236.23 / $236.23 / $396.11	Professional		$236.23	$236.23	$396.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $82.40 / $126.95	Professional		$56.29	$82.40	$126.95
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $120.05 / $271.93	Professional		$89.18	$120.05	$271.93