Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.58 / $4,976.00 / $16,713.00	Facility		$256.58	$4,976.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $127.93 / $330.15	Professional		$74.45	$127.93	$330.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $61.69 / $61.69	Professional		$61.69	$61.69	$61.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $4,734.00 / $9,589.00	Facility		$1,894.00	$4,734.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $133.11 / $291.63	Professional		$75.42	$133.11	$291.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $141.37 / $277.39	Professional		$87.43	$141.37	$277.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $152.38 / $284.86	Professional		$88.03	$152.38	$284.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $108.35 / $225.60	Professional		$72.23	$108.35	$225.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $157.08 / $287.72	Professional		$83.90	$157.08	$287.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $389.32 / $411.02	Facility		$55.00	$389.32	$411.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,596.44 / $2,700.31 / $2,987.99	Professional		$2,596.44	$2,700.31	$2,987.99
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 $80.27 / $133.38 / $227.89	Facility		$80.27	$133.38	$227.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $158.08 / $294.39	Professional		$90.96	$158.08	$294.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $274.22 / $274.22 / $495.42	Professional		$274.22	$274.22	$495.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $118.41 / $208.90	Professional		$75.06	$118.41	$208.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $154.44 / $363.83	Professional		$113.79	$154.44	$363.83