Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.13 / $4,932.00 / $16,109.00	Facility		$392.13	$4,932.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $160.22 / $405.31	Professional		$65.56	$160.22	$405.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.36 / $185.01 / $185.01	Professional		$68.36	$185.01	$185.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $114.13 / $348.29	Professional		$85.16	$114.13	$348.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $149.54 / $293.49	Professional		$71.70	$149.54	$293.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $180.69 / $407.40	Professional		$77.84	$180.69	$407.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $182.05 / $325.24	Professional		$78.89	$182.05	$325.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $168.14 / $325.24	Professional		$71.00	$168.14	$325.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $350.79 / $520.12	Facility		$55.00	$350.79	$520.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $749.52 / $1,614.94 / $2,613.80	Professional		$749.52	$1,614.94	$2,613.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $161.37	Professional		$32.34	$32.34	$161.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $174.36 / $387.12	Facility		$72.56	$174.36	$387.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $191.38 / $482.60	Professional		$80.91	$191.38	$482.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $243.31 / $243.31 / $617.17	Professional		$243.31	$243.31	$617.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $219.13 / $327.70	Professional		$71.66	$219.13	$327.70
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 $147.00 / $208.81 / $554.22	Professional		$147.00	$208.81	$554.22