Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $466.50 / $1,593.16	Facility		$55.83	$466.50	$1,593.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $71.97 / $269.85	Professional		$43.67	$71.97	$269.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $189.12 / $189.12	Professional		$189.12	$189.12	$189.12
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 $47.81 / $71.58 / $146.30	Professional		$47.81	$71.58	$146.30
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 $46.85 / $79.41 / $148.22	Professional		$46.85	$79.41	$148.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $127.69 / $228.70	Facility		$56.00	$127.69	$228.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $86.14 / $164.75	Professional		$52.47	$86.14	$164.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $82.66 / $130.29	Professional		$62.42	$82.66	$130.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $100.41 / $179.46	Professional		$55.55	$100.41	$179.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $246.00 / $269.18	Facility		$55.00	$246.00	$269.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $674.40 / $799.05	Professional		$383.36	$674.40	$799.05
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 $52.96 / $83.12 / $143.76	Facility		$52.96	$83.12	$143.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $91.69 / $174.43	Professional		$53.08	$91.69	$174.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.74 / $164.74 / $280.14	Professional		$164.74	$164.74	$280.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $95.70 / $131.58	Professional		$55.23	$95.70	$131.58
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 $65.06 / $84.60 / $212.98	Professional		$65.06	$84.60	$212.98