Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.01 / $5,165.00 / $17,538.00	Facility		$245.01	$5,165.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $245.00 / $823.64	Professional		$119.32	$245.00	$823.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $592.75 / $592.75 / $592.75	Professional		$592.75	$592.75	$592.75
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 $128.00 / $189.96 / $510.71	Professional		$128.00	$189.96	$510.71
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 $130.11 / $254.07 / $491.10	Professional		$130.11	$254.07	$491.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $209.68 / $375.55	Facility		$56.00	$209.68	$375.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $287.98 / $646.04	Professional		$145.88	$287.98	$646.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $171.98 / $478.49	Professional		$104.62	$171.98	$478.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $347.15 / $652.49	Professional		$150.35	$347.15	$652.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $670.76 / $731.88	Facility		$55.00	$670.76	$731.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.90 / $2,395.84 / $2,834.33	Professional		$1,262.90	$2,395.84	$2,834.33
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 $131.10 / $255.19 / $527.44	Facility		$131.10	$255.19	$527.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $302.27 / $724.30	Professional		$146.71	$302.27	$724.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $454.28 / $454.28 / $1,013.28	Professional		$454.28	$454.28	$1,013.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $177.85 / $483.57	Professional		$117.17	$177.85	$483.57
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 $224.07 / $290.32 / $774.96	Professional		$224.07	$290.32	$774.96