Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.59 / $4,848.00 / $16,125.00	Facility		$96.59	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $88.37 / $170.76	Professional		$58.70	$88.37	$170.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $99.75 / $99.75	Professional		$99.75	$99.75	$99.75
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 $63.01 / $95.23 / $207.04	Professional		$63.01	$95.23	$207.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $83.99 / $174.07	Professional		$58.79	$83.99	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $102.23 / $202.56	Professional		$69.06	$102.23	$202.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $97.52 / $149.12	Professional		$37.60	$97.52	$149.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $109.51 / $191.64	Professional		$72.56	$109.51	$191.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $332.40 / $362.43	Facility		$55.00	$332.40	$362.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $518.64 / $723.84 / $837.00	Professional		$518.64	$723.84	$837.00
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 $64.81 / $96.20 / $149.12	Facility		$64.81	$96.20	$149.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $106.62 / $203.25	Professional		$69.81	$106.62	$203.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $230.61 / $230.61 / $319.57	Professional		$230.61	$230.61	$319.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $68.52 / $113.01	Professional		$42.11	$68.52	$113.01
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 $73.98 / $98.64 / $242.88	Professional		$73.98	$98.64	$242.88