Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.93 / $3,764.00 / $15,877.00	Facility		$241.93	$3,764.00	$15,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $68.95 / $266.00	Professional		$38.17	$68.95	$266.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $74.56 / $169.18	Professional		$53.77	$74.56	$169.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $73.53 / $135.13	Professional		$48.86	$73.53	$135.13
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 $44.46 / $60.71 / $123.52	Professional		$44.46	$60.71	$123.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $74.45 / $1,487.00	Facility		$74.33	$74.45	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $66.56 / $128.94	Professional		$43.77	$66.56	$128.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $57.84 / $95.74	Professional		$46.27	$57.84	$95.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $70.11 / $123.75	Professional		$41.64	$70.11	$123.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $187.71 / $203.40	Facility		$55.00	$187.71	$203.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $345.53 / $593.10	Professional		$298.64	$345.53	$593.10
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 $44.74 / $64.45 / $100.71	Facility		$44.74	$64.45	$100.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $71.06 / $151.36	Professional		$45.02	$71.06	$151.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.54 / $134.54 / $203.06	Professional		$134.54	$134.54	$203.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $69.34 / $97.84	Professional		$42.02	$69.34	$97.84
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $61.60 / $139.02	Professional		$47.52	$61.60	$139.02