Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $2,591.00 / $14,069.00	Facility		$12.75	$2,591.00	$14,069.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $33.75 / $98.64	Professional		$5.47	$33.75	$98.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $1.02 / $2.89 / $8.78	Professional	52	$1.02	$2.89	$8.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.78 / $11.13	Professional		$6.02	$6.78	$11.13
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 $3.93 / $6.78 / $16.03	Professional		$3.93	$6.78	$16.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $100.00 / $1,617.80	Facility		$59.40	$100.00	$1,617.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $6.70 / $13.79	Professional		$4.25	$6.70	$13.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $6.50 / $14.72	Professional		$2.43	$6.50	$14.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $5.96 / $10.50	Professional		$2.33	$5.96	$10.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $6.71 / $13.13	Professional		$2.02	$6.71	$13.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $21.12 / $55.00	Facility		$17.87	$21.12	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $67.00 / $185.90	Professional		$32.76	$67.00	$185.90
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 $2.37 / $7.64 / $15.97	Facility		$2.37	$7.64	$15.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $6.56 / $15.18	Professional		$2.48	$6.56	$15.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $7.01 / $20.23	Professional		$7.01	$7.01	$20.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $7.74 / $11.27	Professional		$2.09	$7.74	$11.27
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 $4.73 / $6.66 / $16.23	Professional		$4.73	$6.66	$16.23