Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.50 / $5,505.00 / $16,210.00	Facility		$475.50	$5,505.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $237.83 / $809.60	Professional		$124.73	$237.83	$809.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $113.70 / $113.70	Professional		$113.70	$113.70	$113.70
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 $135.29 / $186.79 / $421.68	Professional		$135.29	$186.79	$421.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,177.85	Facility		$66.00	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $227.80 / $434.80	Professional		$141.80	$227.80	$434.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.27 / $311.82 / $1,487.00	Facility		$311.27	$311.82	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $266.56 / $522.63	Professional		$143.19	$266.56	$522.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $172.37 / $328.38	Professional		$123.98	$172.37	$328.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $253.39 / $457.56	Professional		$138.53	$253.39	$457.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $627.36 / $675.07	Facility		$55.00	$627.36	$675.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.04 / $1,880.28 / $1,985.70	Professional		$977.04	$1,880.28	$1,985.70
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 $160.25 / $258.12 / $406.13	Facility		$160.25	$258.12	$406.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $279.24 / $599.26	Professional		$147.38	$279.24	$599.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $441.07 / $441.07 / $852.21	Professional		$441.07	$441.07	$852.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $174.08 / $331.85	Professional		$126.60	$174.08	$331.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,753.00 / $8,383.00	Facility		$1,410.00	$2,753.00	$8,383.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $256.25 / $591.54	Professional		$194.92	$256.25	$591.54