Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $4,436.00 / $16,573.00	Facility		$275.00	$4,436.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $184.34 / $813.00	Professional		$98.39	$184.34	$813.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $168.98 / $301.98	Professional		$168.98	$168.98	$301.98
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 $114.07 / $199.42 / $470.66	Professional		$114.07	$199.42	$470.66
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 $104.83 / $152.81 / $332.32	Professional		$104.83	$152.81	$332.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $186.89 / $440.30	Facility		$158.13	$186.89	$440.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $193.86 / $503.72	Professional		$107.16	$193.86	$503.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $109.97 / $238.11	Professional		$47.28	$109.97	$238.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $175.01 / $319.19	Professional		$96.90	$175.01	$319.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $623.10 / $631.79	Facility		$55.00	$623.10	$631.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $657.84 / $1,211.35 / $1,418.25	Professional		$657.84	$1,211.35	$1,418.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $151.87 / $273.91	Facility		$92.25	$151.87	$273.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.07 / $202.46 / $453.74	Professional		$108.07	$202.46	$453.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $285.55 / $285.55 / $534.39	Professional		$285.55	$285.55	$534.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $83.48 / $240.64	Professional		$47.28	$83.48	$240.64
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,506.00 / $6,323.00	Facility		$421.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $199.76 / $539.26	Professional		$131.66	$199.76	$539.26