Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.55 / $3,696.00 / $15,522.00	Facility		$423.55	$3,696.00	$15,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.65 / $161.25 / $543.00	Professional		$122.65	$161.25	$543.00
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $165.38 / $241.60	Professional		$146.44	$165.38	$241.60
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 $119.98 / $173.03 / $380.10	Professional		$119.98	$173.03	$380.10
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 $112.62 / $160.88 / $328.34	Professional		$112.62	$160.88	$328.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $172.72 / $336.12	Professional		$109.65	$172.72	$336.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.07 / $158.04 / $251.75	Professional		$117.07	$158.04	$251.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $178.47 / $317.83	Professional		$100.82	$178.47	$317.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $462.24 / $502.31	Facility		$55.00	$462.24	$502.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $720.56 / $1,242.41 / $1,399.80	Professional		$720.56	$1,242.41	$1,399.80
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 $113.35 / $175.79 / $286.83	Facility		$113.35	$175.79	$286.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $179.96 / $336.14	Professional		$110.08	$179.96	$336.14
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $626.00 / $626.00 / $626.00	Facility		$626.00	$626.00	$626.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $321.86 / $321.86 / $525.02	Professional		$321.86	$321.86	$525.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $182.17 / $260.01	Professional		$106.40	$182.17	$260.01
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 $120.96 / $161.68 / $361.22	Professional		$120.96	$161.68	$361.22