Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $275.00 / $877.17	Facility		$63.38	$275.00	$877.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $90.43 / $366.00	Professional		$58.60	$90.43	$366.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $117.65 / $198.20	Professional		$63.18	$117.65	$198.20
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 $62.88 / $87.04 / $170.72	Professional		$62.88	$87.04	$170.72
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 $63.02 / $90.03 / $179.27	Professional		$63.02	$90.03	$179.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $99.72 / $178.61	Facility		$56.00	$99.72	$178.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $95.22 / $196.21	Professional		$64.00	$95.22	$196.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $86.88 / $127.89	Professional		$69.50	$86.88	$127.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $91.88 / $160.85	Professional		$60.40	$91.88	$160.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $275.80 / $299.63	Facility		$55.00	$275.80	$299.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $428.48 / $597.91 / $703.05	Professional		$428.48	$597.91	$703.05
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 $67.95 / $91.44 / $131.07	Facility		$67.95	$91.44	$131.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $101.01 / $197.30	Professional		$65.98	$101.01	$197.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $192.48 / $192.48 / $261.00	Professional		$192.48	$192.48	$261.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $92.80 / $153.46	Professional		$63.14	$92.80	$153.46
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $5,830.00	Facility		$510.00	$1,506.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $83.55 / $179.29	Professional		$63.18	$83.55	$179.29