Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.21 / $4,848.00 / $16,573.00	Facility		$131.21	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $102.90 / $272.74	Professional		$67.93	$102.90	$272.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $205.35 / $621.41	Professional		$205.35	$205.35	$621.41
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 $92.48 / $115.82 / $233.05	Professional		$92.48	$115.82	$233.05
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 $71.80 / $102.46 / $205.80	Professional		$71.80	$102.46	$205.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.16 / $158.44 / $1,487.00	Facility		$158.16	$158.44	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $122.38 / $238.61	Professional		$83.96	$122.38	$238.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $104.41 / $163.47	Professional		$63.66	$104.41	$163.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $130.38 / $231.00	Professional		$81.13	$130.38	$231.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $361.81 / $404.80	Facility		$55.00	$361.81	$404.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $570.48 / $849.68 / $1,003.73	Professional		$570.48	$849.68	$1,003.73
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 $91.64 / $128.13 / $193.25	Facility		$91.64	$128.13	$193.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.56 / $131.03 / $267.58	Professional		$85.56	$131.03	$267.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $249.81 / $249.81 / $353.20	Professional		$249.81	$249.81	$353.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $105.40 / $165.14	Professional		$71.30	$105.40	$165.14
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 $84.21 / $112.85 / $243.60	Professional		$84.21	$112.85	$243.60