Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.03 / $5,206.00 / $17,538.00	Facility		$252.03	$5,206.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $209.91 / $802.73	Professional		$127.37	$209.91	$802.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.32 / $239.32 / $239.32	Professional		$239.32	$239.32	$239.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $208.23 / $480.81	Professional		$129.19	$208.23	$480.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,863.19	Facility		$67.90	$100.00	$6,863.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $189.77 / $420.83	Professional		$132.84	$189.77	$420.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.95 / $417.81 / $1,404.00	Facility		$205.95	$417.81	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.46 / $235.26 / $534.33	Professional		$140.46	$235.26	$534.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $187.93 / $347.11	Professional		$133.66	$187.93	$347.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $235.41 / $428.26	Professional		$133.24	$235.41	$428.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $893.64 / $921.48	Facility		$55.00	$893.64	$921.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $943.04 / $1,632.56 / $1,913.10	Professional		$943.04	$1,632.56	$1,913.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.38	Professional		$32.34	$32.34	$191.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $205.95 / $361.58	Facility		$128.65	$205.95	$361.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $260.85 / $576.91	Professional		$146.13	$260.85	$576.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $428.91 / $428.91 / $736.66	Professional		$428.91	$428.91	$736.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $173.98 / $321.52	Professional		$133.66	$173.98	$321.52
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,964.00 / $9,131.00	Facility		$740.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $235.85 / $559.73	Professional		$171.30	$235.85	$559.73