Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.10 / $4,736.56 / $16,109.00	Facility		$212.10	$4,736.56	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $107.01 / $235.06	Professional		$41.38	$107.01	$235.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $42.44 / $113.95	Professional		$31.95	$42.44	$113.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,604.00 / $9,596.00	Facility		$1,988.00	$4,604.00	$9,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $148.77 / $261.92	Professional		$72.43	$148.77	$261.92
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 $87.55 / $121.85 / $292.64	Professional		$87.55	$121.85	$292.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Facility		$59.84	$59.84	$59.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $120.43 / $240.58	Professional		$42.46	$120.43	$240.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $110.57 / $202.39	Professional		$37.92	$110.57	$202.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $97.34 / $194.90	Professional		$34.49	$97.34	$194.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $297.69 / $297.69	Facility		$55.00	$297.69	$297.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $432.94 / $838.40 / $973.43	Professional		$432.94	$838.40	$973.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $97.54	Professional		$32.34	$32.34	$97.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $114.29 / $203.07	Facility		$39.97	$114.29	$203.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $125.66 / $297.56	Professional		$45.30	$125.66	$297.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $120.47 / $405.38	Professional		$120.47	$120.47	$405.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $136.38 / $199.03	Professional		$34.46	$136.38	$199.03
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,506.00 / $7,317.00	Facility		$526.00	$1,506.00	$7,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $142.25 / $334.29	Professional		$99.32	$142.25	$334.29