Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.37 / $4,848.00 / $16,125.00	Facility		$153.37	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $132.55 / $371.41	Professional		$86.32	$132.55	$371.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
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 $92.33 / $139.94 / $309.70	Professional		$92.33	$139.94	$309.70
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 $83.52 / $119.31 / $255.50	Professional		$83.52	$119.31	$255.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $152.29 / $307.38	Professional		$97.01	$152.29	$307.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $131.47 / $225.31	Professional		$48.03	$131.47	$225.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $163.25 / $289.14	Professional		$98.69	$163.25	$289.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $666.36 / $674.52	Facility		$55.00	$666.36	$674.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $706.24 / $1,088.00 / $1,264.05	Professional		$706.24	$1,088.00	$1,264.05
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 $89.29 / $137.54 / $225.31	Facility		$89.29	$137.54	$225.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $159.09 / $314.19	Professional		$98.09	$159.09	$314.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $315.29 / $315.29 / $493.21	Professional		$315.29	$315.29	$493.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $90.85 / $170.74	Professional		$53.79	$90.85	$170.74
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 $112.85 / $147.69 / $337.73	Professional		$112.85	$147.69	$337.73