Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,206.00 / $16,713.00	Facility		$934.95	$5,206.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $119.73 / $560.00	Professional		$104.79	$119.73	$560.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,464.00 / $8,976.00	Facility		$1,759.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $234.93 / $419.34	Professional		$163.61	$234.93	$419.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $132.36 / $299.94	Professional		$98.17	$132.36	$299.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $159.77 / $355.40	Professional		$121.16	$159.77	$355.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $159.46 / $199.33	Professional		$102.75	$159.46	$199.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $177.68 / $320.39	Professional		$129.06	$177.68	$320.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $341.25 / $731.30	Facility		$55.00	$341.25	$731.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $959.60 / $987.68 / $1,136.93	Professional		$959.60	$987.68	$1,136.93
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 $136.24 / $172.08 / $240.67	Facility		$136.24	$172.08	$240.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $169.03 / $349.63	Professional		$122.02	$169.03	$349.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $418.05 / $418.05 / $418.05	Professional		$418.05	$418.05	$418.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.77 / $144.86 / $177.06	Professional		$128.77	$144.86	$177.06
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 $99.45 / $136.16 / $309.00	Professional		$99.45	$136.16	$309.00