Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $230.16 / $818.47	Professional		$182.25	$230.16	$818.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.18 / $270.18 / $270.18	Professional		$270.18	$270.18	$270.18
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 $206.91 / $281.06 / $578.19	Professional		$206.91	$281.06	$578.19
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 $163.62 / $224.70 / $508.46	Professional		$163.62	$224.70	$508.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $253.20 / $453.49	Facility		$56.00	$253.20	$453.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.22 / $278.83 / $590.26	Professional		$210.22	$278.83	$590.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $289.14 / $390.34	Professional		$88.61	$289.14	$390.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.24 / $319.45 / $570.24	Professional		$237.24	$319.45	$570.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,082.83 / $1,214.81	Facility		$55.00	$1,082.83	$1,214.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,679.76 / $1,799.76 / $2,103.00	Professional		$1,679.76	$1,799.76	$2,103.00
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 $219.88 / $303.45 / $415.13	Facility		$219.88	$303.45	$415.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $296.39 / $609.22	Professional		$217.25	$296.39	$609.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $719.85 / $719.85 / $761.92	Professional		$719.85	$719.85	$761.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $233.61 / $341.63	Professional		$99.24	$233.61	$341.63
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 $178.20 / $231.00 / $528.58	Professional		$178.20	$231.00	$528.58