Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.82 / $5,856.00 / $18,681.00	Facility		$264.82	$5,856.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $223.83 / $622.24	Professional		$157.52	$223.83	$622.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.83 / $228.83 / $241.54	Professional		$228.83	$228.83	$241.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $251.28 / $538.32	Professional		$175.45	$251.28	$538.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,881.37	Facility		$67.90	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $232.44 / $499.71	Professional		$159.66	$232.44	$499.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,761.60 / $4,904.76	Facility		$455.00	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.41 / $263.16 / $543.19	Professional		$173.41	$263.16	$543.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $196.52 / $248.84 / $386.76	Professional		$196.52	$248.84	$386.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.97 / $254.25 / $444.94	Professional		$170.97	$254.25	$444.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.08 / $1,177.68 / $16,394.00	Facility		$1,153.08	$1,177.68	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.52 / $1,972.58 / $2,081.96	Professional		$1,217.52	$1,972.58	$2,081.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $328.99	Professional		$32.34	$32.34	$328.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.46 / $260.14 / $390.64	Facility		$186.46	$260.14	$390.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.92 / $288.93 / $571.14	Professional		$179.92	$288.93	$571.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $530.63 / $530.63 / $755.44	Professional		$530.63	$530.63	$755.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $248.84 / $348.37	Professional		$178.54	$248.84	$348.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $248.14 / $587.38	Professional		$182.84	$248.14	$587.38