Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.92 / $2,339.00 / $17,030.00	Facility		$220.92	$2,339.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $226.45 / $881.56	Professional		$117.35	$226.45	$881.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.54 / $365.54 / $365.54	Professional		$365.54	$365.54	$365.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $177.84 / $355.06	Professional		$127.82	$177.84	$355.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $238.42 / $474.42	Professional		$125.69	$238.42	$474.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $235.40 / $570.65	Professional		$128.13	$235.40	$570.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $151.28 / $294.66	Professional		$56.22	$151.28	$294.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $226.76 / $401.81	Professional		$131.76	$226.76	$401.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $554.07 / $633.60	Facility		$55.00	$554.07	$633.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $877.12 / $1,483.12 / $1,746.08	Professional		$877.12	$1,483.12	$1,746.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.98 / $205.79 / $344.59	Facility		$114.98	$205.79	$344.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $248.54 / $532.41	Professional		$129.72	$248.54	$532.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $375.60 / $375.60 / $636.47	Professional		$375.60	$375.60	$636.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $99.25 / $297.79	Professional		$56.22	$99.25	$297.79
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,506.00 / $6,323.00	Facility		$466.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $230.64 / $651.26	Professional		$151.19	$230.64	$651.26