Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.80 / $4,848.00 / $17,013.00	Facility		$129.80	$4,848.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $99.45 / $271.76	Professional		$51.42	$99.45	$271.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $90.30 / $123.58	Professional		$58.41	$90.30	$123.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $107.22 / $222.17	Professional		$58.21	$107.22	$222.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $1,617.80	Facility		$67.90	$100.00	$1,617.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $102.45 / $204.35	Professional		$64.12	$102.45	$204.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $224.13 / $1,404.00	Facility		$80.50	$224.13	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $113.89 / $270.00	Professional		$60.03	$113.89	$270.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $68.66 / $142.66	Professional		$50.26	$68.66	$142.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $97.25 / $178.32	Professional		$53.77	$97.25	$178.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $363.90 / $371.58	Facility		$55.00	$363.90	$371.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $728.98 / $786.90	Professional		$435.00	$728.98	$786.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $79.54	Professional		$32.34	$32.34	$79.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $96.50 / $161.69	Facility		$57.05	$96.50	$161.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $124.47 / $265.06	Professional		$61.98	$124.47	$265.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $176.21 / $345.72	Professional		$176.21	$176.21	$345.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $69.36 / $132.16	Professional		$50.26	$69.36	$132.16
United Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $2,513.00 / $7,399.00	Facility		$338.00	$2,513.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $112.76 / $266.62	Professional		$82.60	$112.76	$266.62