Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $233.25 / $471.26	Facility		$16.89	$233.25	$471.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $27.62 / $81.92	Professional		$13.91	$27.62	$81.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $25.30 / $25.30	Professional		$25.30	$25.30	$25.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,589.00	Facility		$1,882.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $37.64 / $70.09	Professional		$19.70	$37.64	$70.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $77.09 / $356.35	Facility		$31.36	$77.09	$356.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $33.15 / $63.42	Professional		$17.19	$33.15	$63.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $652.00 / $679.75	Facility		$18.37	$652.00	$679.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $30.51 / $66.53	Professional		$15.87	$30.51	$66.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $17.75 / $40.29	Professional		$12.66	$17.75	$40.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $26.11 / $45.55	Professional		$14.49	$26.11	$45.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $71.68 / $71.68	Facility		$61.28	$71.68	$71.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $199.84 / $226.50	Professional		$138.00	$199.84	$226.50
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 $10.62 / $21.33 / $42.50	Facility		$10.62	$21.33	$42.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $31.80 / $69.86	Professional		$15.92	$31.80	$69.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $50.82 / $100.11	Professional		$50.82	$50.82	$100.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $17.93 / $37.33	Professional		$13.04	$17.93	$37.33
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $9,196.00	Facility		$510.00	$1,506.00	$9,196.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $33.51 / $83.22	Professional		$24.64	$33.51	$83.22