Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.94 / $5,324.00 / $16,008.00	Facility		$276.94	$5,324.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $144.08 / $476.60	Professional		$47.36	$144.08	$476.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $86.08 / $102.95	Professional		$42.10	$86.08	$102.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $136.01 / $354.03	Professional		$69.66	$136.01	$354.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $155.85 / $339.75	Professional		$59.77	$155.85	$339.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $81.79	Facility		$81.79	$81.79	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $123.62 / $295.39	Professional		$52.76	$123.62	$295.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $67.86 / $189.93	Professional		$46.17	$67.86	$189.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $104.79 / $189.93	Professional		$45.91	$104.79	$189.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $214.95 / $226.86	Facility		$55.00	$214.95	$226.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $429.75 / $1,042.93 / $1,074.22	Professional		$429.75	$1,042.93	$1,074.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $95.45	Professional		$32.34	$32.34	$95.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $103.77 / $226.59	Facility		$54.22	$103.77	$226.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $132.54 / $312.39	Professional		$53.75	$132.54	$312.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $158.32 / $158.32 / $460.06	Professional		$158.32	$158.32	$460.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $75.68 / $156.35	Professional		$45.63	$75.68	$156.35
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 $113.18 / $177.30 / $375.34	Professional		$113.18	$177.30	$375.34