Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.59 / $4,848.00 / $16,125.00	Facility		$211.59	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $193.90 / $360.54	Professional		$125.50	$193.90	$360.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $172.52 / $199.25	Professional		$172.52	$172.52	$199.25
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 $134.99 / $201.53 / $446.41	Professional		$134.99	$201.53	$446.41
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 $116.94 / $167.05 / $360.37	Professional		$116.94	$167.05	$360.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $213.00 / $424.12	Professional		$138.93	$213.00	$424.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $185.06 / $311.52	Professional		$80.04	$185.06	$311.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $226.41 / $401.07	Professional		$139.63	$226.41	$401.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $946.38 / $963.96	Facility		$55.00	$946.38	$963.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.40 / $1,519.36 / $1,752.75	Professional		$1,006.40	$1,519.36	$1,752.75
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 $130.83 / $194.36 / $311.52	Facility		$130.83	$194.36	$311.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $221.41 / $440.17	Professional		$139.63	$221.41	$440.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $457.45 / $457.45 / $689.47	Professional		$457.45	$457.45	$689.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $141.32 / $236.08	Professional		$89.65	$141.32	$236.08
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 $157.75 / $207.54 / $522.48	Professional		$157.75	$207.54	$522.48