Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.05 / $5,068.00 / $17,380.00	Facility		$303.05	$5,068.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $219.40 / $843.00	Professional		$81.83	$219.40	$843.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.91 / $164.91 / $164.91	Professional		$164.91	$164.91	$164.91
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 $127.10 / $272.10 / $524.77	Professional		$127.10	$272.10	$524.77
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 $109.07 / $237.69 / $486.78	Professional		$109.07	$237.69	$486.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $730.77 / $1,721.63	Facility		$339.00	$730.77	$1,721.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $225.74 / $522.29	Professional		$93.33	$225.74	$522.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $126.29 / $375.52	Professional		$81.70	$126.29	$375.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $209.37 / $409.02	Professional		$72.61	$209.37	$409.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $411.50 / $444.77 / $12,000.00	Facility		$411.50	$444.77	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.00 / $1,907.03 / $1,907.03	Professional		$1,372.00	$1,907.03	$1,907.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $297.07	Professional		$32.34	$32.34	$297.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.07 / $222.26 / $403.33	Facility		$85.07	$222.26	$403.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $233.73 / $549.04	Professional		$98.60	$233.73	$549.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $235.69 / $235.69 / $672.07	Professional		$235.69	$235.69	$672.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $156.33 / $309.24	Professional		$74.22	$156.33	$309.24
United Facility/Professional Facility Modifier Low / Median / High Price $833.75 / $3,964.00 / $9,131.00	Facility		$833.75	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $248.40 / $567.46	Professional		$165.59	$248.40	$567.46