Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.72 / $4,397.00 / $16,008.00	Facility		$263.72	$4,397.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $124.10 / $475.04	Professional		$74.86	$124.10	$475.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.77 / $56.17 / $255.65	Professional	52	$36.77	$56.17	$255.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $135.00 / $237.49	Professional		$124.13	$135.00	$237.49
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 $76.26 / $119.69 / $270.62	Professional		$76.26	$119.69	$270.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $104.81 / $217.87	Professional		$68.79	$104.81	$217.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $133.78 / $271.92	Professional		$81.43	$133.78	$271.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $139.74 / $203.52	Professional		$103.51	$139.74	$203.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $146.03 / $258.48	Professional		$87.03	$146.03	$258.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $393.76 / $437.43	Facility		$55.00	$393.76	$437.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.64 / $960.24 / $1,116.75	Professional		$616.64	$960.24	$1,116.75
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 $76.98 / $121.00 / $200.06	Facility		$76.98	$121.00	$200.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $140.34 / $277.58	Professional		$84.57	$140.34	$277.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $271.43 / $271.43 / $437.33	Professional		$271.43	$271.43	$437.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $153.41 / $223.25	Professional		$90.06	$153.41	$223.25
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $5,830.00	Facility		$548.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $133.44 / $301.79	Professional		$100.11	$133.44	$301.79