Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.88 / $2,694.00 / $14,472.00	Facility		$219.88	$2,694.00	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $145.82 / $484.58	Professional		$70.79	$145.82	$484.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $117.55 / $221.95	Professional		$112.68	$117.55	$221.95
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 $95.20 / $147.30 / $314.37	Professional		$95.20	$147.30	$314.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $121.99 / $253.59	Professional		$80.94	$121.99	$253.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $132.32 / $311.74	Facility		$111.97	$132.32	$311.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $129.88 / $329.73	Professional		$78.19	$129.88	$329.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $97.37 / $177.11	Professional		$77.06	$97.37	$177.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $132.57 / $239.45	Professional		$72.56	$132.57	$239.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $554.04 / $562.52	Facility		$55.00	$554.04	$562.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $915.84 / $1,078.20	Professional		$629.00	$915.84	$1,078.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $132.49 / $201.42	Facility		$82.76	$132.49	$201.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $135.53 / $323.89	Professional		$79.17	$135.53	$323.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $217.02 / $217.02 / $408.16	Professional		$217.02	$217.02	$408.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $107.89 / $178.94	Professional		$77.06	$107.89	$178.94
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $150.07 / $426.24	Professional		$96.98	$150.07	$426.24