Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.68 / $9,674.00 / $22,788.00	Facility		$236.68	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $234.28 / $863.34	Professional		$193.92	$234.28	$863.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.54 / $200.54 / $200.54	Professional		$200.54	$200.54	$200.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,312.00 / $10,564.00	Facility		$2,000.00	$5,312.00	$10,564.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.35 / $290.92 / $585.09	Professional		$229.35	$290.92	$585.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $242.42 / $556.62	Professional		$164.52	$242.42	$556.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $750.00 / $5,431.00	Facility		$238.55	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.48 / $285.68 / $628.38	Professional		$213.48	$285.68	$628.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $139.16 / $303.91	Professional		$91.96	$139.16	$303.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $256.77 / $475.88	Professional		$195.32	$256.77	$475.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,673.70 / $1,713.25	Facility		$55.00	$1,673.70	$1,713.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.05 / $1,798.05 / $1,798.05	Professional		$1,798.05	$1,798.05	$1,798.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.05 / $274.44 / $395.92	Facility		$209.05	$274.44	$395.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.71 / $305.56 / $578.52	Professional		$214.71	$305.56	$578.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $695.13 / $695.13 / $695.13	Professional		$695.13	$695.13	$695.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $165.52 / $259.52	Professional		$91.96	$165.52	$259.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.64 / $237.29 / $545.75	Professional		$171.64	$237.29	$545.75