Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.92 / $4,848.00 / $16,125.00	Facility		$167.92	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $153.36 / $372.17	Professional		$96.53	$153.36	$372.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $158.62 / $166.55	Professional		$154.94	$158.62	$166.55
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 $103.53 / $156.91 / $342.22	Professional		$103.53	$156.91	$342.22
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 $91.62 / $130.88 / $282.73	Professional		$91.62	$130.88	$282.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $167.67 / $337.56	Professional		$107.02	$167.67	$337.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $143.62 / $250.12	Professional		$56.96	$143.62	$250.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $181.14 / $320.79	Professional		$107.81	$181.14	$320.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $729.00 / $740.76	Facility		$55.00	$729.00	$740.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $774.08 / $1,208.32 / $1,398.45	Professional		$774.08	$1,208.32	$1,398.45
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 $98.94 / $152.47 / $248.16	Facility		$98.94	$152.47	$248.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $173.46 / $346.41	Professional		$107.81	$173.46	$346.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $348.10 / $348.10 / $544.04	Professional		$348.10	$348.10	$544.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $100.90 / $189.55	Professional		$63.80	$100.90	$189.55
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 $123.69 / $166.82 / $373.66	Professional		$123.69	$166.82	$373.66