Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.26 / $4,420.00 / $17,030.00	Facility		$184.26	$4,420.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $143.50 / $403.25	Professional		$77.84	$143.50	$403.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $52.26 / $113.78	Professional		$33.86	$52.26	$113.78
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 $94.64 / $165.02 / $341.21	Professional		$94.64	$165.02	$341.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $166.25 / $323.07	Professional		$88.85	$166.25	$323.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $751.55 / $1,698.33	Facility		$339.00	$751.55	$1,698.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $175.24 / $405.00	Professional		$88.31	$175.24	$405.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $90.50 / $309.77	Professional		$46.54	$90.50	$309.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $182.64 / $337.07	Professional		$79.83	$182.64	$337.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $632.59 / $648.34 / $12,000.00	Facility		$632.59	$648.34	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $704.09 / $1,343.84 / $1,571.70	Professional		$704.09	$1,343.84	$1,571.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $237.69	Professional		$32.34	$32.34	$237.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $146.16 / $301.01	Facility		$80.31	$146.16	$301.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $190.52 / $451.66	Professional		$91.31	$190.52	$451.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $259.24 / $259.24 / $571.79	Professional		$259.24	$259.24	$571.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $82.16 / $264.89	Professional		$46.54	$82.16	$264.89
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,786.00 / $9,072.00	Facility		$705.00	$3,786.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.54 / $183.91 / $427.43	Professional		$135.54	$183.91	$427.43