Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,436.00 / $16,109.00	Facility		$344.00	$4,436.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $134.71 / $529.20	Professional		$77.84	$134.71	$529.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $134.08 / $304.39	Professional		$85.46	$134.08	$304.39
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 $85.17 / $134.13 / $288.62	Professional		$85.17	$134.13	$288.62
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 $77.40 / $114.34 / $237.86	Professional		$77.40	$114.34	$237.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $143.31 / $296.52	Professional		$89.67	$143.31	$296.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $120.68 / $225.06	Professional		$43.93	$120.68	$225.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $159.44 / $283.89	Professional		$90.08	$159.44	$283.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $410.68 / $449.45	Facility		$55.00	$410.68	$449.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $644.55 / $1,074.00 / $1,247.18	Professional		$644.55	$1,074.00	$1,247.18
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 $82.87 / $129.62 / $216.85	Facility		$82.87	$129.62	$216.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $151.94 / $301.97	Professional		$90.08	$151.94	$301.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $287.10 / $287.10 / $484.25	Professional		$287.10	$287.10	$484.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $83.10 / $170.58	Professional		$49.20	$83.10	$170.58
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 $107.79 / $144.55 / $434.38	Professional		$107.79	$144.55	$434.38