Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $296.20 / $1,925.35	Facility		$34.63	$296.20	$1,925.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $44.75 / $166.00	Professional		$25.62	$44.75	$166.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $44.16 / $84.35	Professional		$35.33	$44.16	$84.35
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 $28.87 / $40.99 / $82.06	Professional		$28.87	$40.99	$82.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,581.82	Facility		$65.90	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $41.69 / $87.54	Professional		$27.94	$41.69	$87.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Facility		$56.00	$56.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $45.58 / $99.88	Professional		$29.87	$45.58	$99.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $32.06 / $56.98	Professional		$22.34	$32.06	$56.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $46.45 / $81.29	Professional		$28.96	$46.45	$81.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $134.91 / $141.74	Facility		$55.00	$134.91	$141.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.64 / $311.20 / $365.03	Professional		$208.64	$311.20	$365.03
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 $30.62 / $43.82 / $65.92	Facility		$30.62	$43.82	$65.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $47.85 / $104.04	Professional		$30.67	$47.85	$104.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $94.67 / $134.34	Professional		$94.67	$94.67	$134.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $35.57 / $57.53	Professional		$25.02	$35.57	$57.53
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $41.30 / $91.97	Professional		$31.96	$41.30	$91.97