Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.58 / $4,800.78 / $14,472.00	Facility		$753.58	$4,800.78	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $221.31 / $693.69	Professional		$55.91	$221.31	$693.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.96 / $95.96 / $95.96	Professional		$95.96	$95.96	$95.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $231.67 / $558.88	Professional		$74.39	$231.67	$558.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $205.68 / $473.07	Professional		$65.73	$205.68	$473.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $171.30 / $475.40	Professional		$61.30	$171.30	$475.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $83.10 / $376.77	Professional		$64.73	$83.10	$376.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $200.14 / $418.64	Professional		$58.27	$200.14	$418.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $390.65 / $12,000.00	Facility		$390.65	$390.65	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $793.24 / $1,601.68 / $1,792.35	Professional		$793.24	$1,601.68	$1,792.35
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 $59.55 / $140.16 / $376.77	Facility		$59.55	$140.16	$376.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $163.10 / $496.23	Professional		$62.63	$163.10	$496.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.79 / $190.79 / $802.68	Professional		$190.79	$190.79	$802.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $108.03 / $310.33	Professional		$58.82	$108.03	$310.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.52 / $253.75 / $575.80	Professional		$182.52	$253.75	$575.80