Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $2,051.00 / $13,782.00	Facility		$76.81	$2,051.00	$13,782.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $76.69 / $253.00	Professional		$51.54	$76.69	$253.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $67.28 / $100.98	Professional		$60.29	$67.28	$100.98
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 $49.40 / $73.37 / $161.94	Professional		$49.40	$73.37	$161.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,550.84	Facility		$66.09	$100.00	$1,550.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $64.23 / $139.08	Professional		$44.78	$64.23	$139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $76.37 / $155.75	Professional		$51.99	$76.37	$155.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $83.54 / $104.43	Professional		$68.09	$83.54	$104.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $79.70 / $136.62	Professional		$56.80	$79.70	$136.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $260.56 / $286.43	Facility		$55.00	$260.56	$286.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $460.58 / $570.90	Professional		$402.72	$460.58	$570.90
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 $51.41 / $74.65 / $110.60	Facility		$51.41	$74.65	$110.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $80.09 / $155.75	Professional		$52.65	$80.09	$155.75
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $618.00 / $618.00	Facility		$618.00	$618.00	$618.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $177.53 / $216.00	Professional		$177.53	$177.53	$216.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $83.54 / $125.32	Professional		$59.01	$83.54	$125.32
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $68.38 / $148.41	Professional		$51.41	$68.38	$148.41