Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.00 / $2,790.00 / $16,008.00	Facility		$129.00	$2,790.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $129.21 / $465.00	Professional		$80.00	$129.21	$465.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $110.16 / $250.52	Professional		$110.16	$110.16	$250.52
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 $98.32 / $126.70 / $245.91	Professional		$98.32	$126.70	$245.91
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 $82.14 / $129.16 / $243.50	Professional		$82.14	$129.16	$243.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.54 / $1,487.00	Facility		$114.34	$114.54	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $136.16 / $257.07	Professional		$89.71	$136.16	$257.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $113.55 / $159.69	Professional		$93.80	$113.55	$159.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $118.80 / $216.39	Professional		$80.78	$118.80	$216.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $380.80 / $403.09	Facility		$55.00	$380.80	$403.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $586.40 / $864.30 / $1,045.14	Professional		$586.40	$864.30	$1,045.14
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 $84.86 / $127.31 / $185.35	Facility		$84.86	$127.31	$185.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $144.41 / $263.07	Professional		$91.48	$144.41	$263.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $260.41 / $260.41 / $336.15	Professional		$260.41	$260.41	$336.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $118.09 / $204.39	Professional		$85.29	$118.09	$204.39
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 $80.92 / $118.63 / $229.84	Professional		$80.92	$118.63	$229.84