Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $4,749.00 / $16,573.00	Facility		$102.67	$4,749.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $75.70 / $204.83	Professional		$52.78	$75.70	$204.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $148.82 / $452.11	Professional		$148.82	$148.82	$452.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $105.24 / $197.79	Professional		$72.62	$105.24	$197.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $77.39 / $158.07	Professional		$55.80	$77.39	$158.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $94.01 / $168.38	Facility		$56.00	$94.01	$168.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $97.05 / $184.67	Professional		$68.06	$97.05	$184.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $74.95 / $116.29	Professional		$49.14	$74.95	$116.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $97.99 / $177.43	Professional		$66.63	$97.99	$177.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $301.25 / $327.80	Facility		$55.00	$301.25	$327.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $474.64 / $634.48 / $749.33	Professional		$474.64	$634.48	$749.33
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 $73.66 / $98.63 / $141.41	Facility		$73.66	$98.63	$141.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $102.34 / $211.01	Professional		$69.22	$102.34	$211.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $213.39 / $213.39 / $277.10	Professional		$213.39	$213.39	$277.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $83.18 / $117.39	Professional		$55.04	$83.18	$117.39
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $87.91 / $189.84	Professional		$66.90	$87.91	$189.84