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 $151.58 / $191.20 / $982.06	Professional		$151.58	$191.20	$982.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.64 / $218.64 / $218.64	Professional		$218.64	$218.64	$218.64
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 $194.12 / $245.50 / $501.00	Professional		$194.12	$245.50	$501.00
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 $132.18 / $188.83 / $432.85	Professional		$132.18	$188.83	$432.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $233.13 / $417.54	Facility		$56.00	$233.13	$417.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $230.38 / $482.02	Professional		$174.23	$230.38	$482.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $241.64 / $326.20	Professional		$145.19	$241.64	$326.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $265.17 / $473.00	Professional		$194.32	$265.17	$473.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,583.96 / $1,611.47	Facility		$55.00	$1,583.96	$1,611.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.44 / $1,446.72 / $1,716.38	Professional		$1,421.44	$1,446.72	$1,716.38
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 $194.32 / $252.02 / $334.25	Facility		$194.32	$252.02	$334.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $246.04 / $500.83	Professional		$176.63	$246.04	$500.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $609.36 / $609.36 / $618.97	Professional		$609.36	$609.36	$618.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $219.57 / $272.95	Professional		$162.62	$219.57	$272.95
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,323.00	Facility		$545.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $183.75 / $390.31	Professional		$143.63	$183.75	$390.31