Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.40 / $4,436.00 / $16,109.00	Facility		$389.40	$4,436.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.58 / $352.80 / $926.06	Professional		$170.58	$352.80	$926.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $392.78 / $414.74	Professional		$317.97	$392.78	$414.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.42 / $350.43 / $779.88	Professional		$170.42	$350.43	$779.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,177.85	Facility		$65.80	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $309.20 / $605.63	Professional		$153.02	$309.20	$605.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $369.49 / $756.97	Professional		$180.89	$369.49	$756.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $196.92 / $322.77 / $600.38	Professional		$196.92	$322.77	$600.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $406.19 / $755.30	Professional		$174.43	$406.19	$755.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $788.72 / $861.08	Facility		$55.00	$788.72	$861.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,480.96 / $2,847.92 / $3,304.20	Professional		$1,480.96	$2,847.92	$3,304.20
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 $171.21 / $318.13 / $606.77	Facility		$171.21	$318.13	$606.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.37 / $384.46 / $776.71	Professional		$183.37	$384.46	$776.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $587.00 / $1,267.41	Professional		$587.00	$587.00	$1,267.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $404.51 / $556.20	Professional		$159.06	$404.51	$556.20
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $380.24 / $841.27	Professional		$291.60	$380.24	$841.27