Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.39 / $6,695.00 / $18,293.00	Facility		$126.39	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $126.39 / $392.93	Professional		$69.37	$126.39	$392.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $119.92 / $133.24	Professional		$118.76	$119.92	$133.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $142.34 / $271.76	Professional		$83.93	$142.34	$271.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $119.41 / $237.23	Professional		$77.45	$119.41	$237.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $125.80 / $253.03	Professional		$73.05	$125.80	$253.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $90.06 / $181.00	Professional		$48.40	$90.06	$181.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $125.44 / $230.34	Professional		$69.58	$125.44	$230.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $314.87 / $343.05	Facility		$55.00	$314.87	$343.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $506.16 / $883.12 / $1,020.90	Professional		$506.16	$883.12	$1,020.90
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 $68.18 / $112.62 / $186.94	Facility		$68.18	$112.62	$186.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $131.71 / $262.05	Professional		$73.17	$131.71	$262.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $231.80 / $231.80 / $414.53	Professional		$231.80	$231.80	$414.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $79.34 / $137.16	Professional		$54.21	$79.34	$137.16
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $5,830.00	Facility		$548.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $129.55 / $288.18	Professional		$96.09	$129.55	$288.18