Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $4,941.00 / $17,133.00	Facility		$135.94	$4,941.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $104.26 / $227.32	Professional		$44.04	$104.26	$227.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $122.23 / $302.14	Professional		$54.82	$122.23	$302.14
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 $52.91 / $113.45 / $233.51	Professional		$52.91	$113.45	$233.51
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 $56.98 / $117.29 / $239.82	Professional		$56.98	$117.29	$239.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.23 / $335.62 / $1,404.00	Facility		$113.23	$335.62	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $115.07 / $300.00	Professional		$50.75	$115.07	$300.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $59.79 / $198.52	Professional		$36.11	$59.79	$198.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $128.37 / $248.15	Professional		$48.73	$128.37	$248.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.80 / $279.95 / $415.00	Facility		$275.80	$279.95	$415.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $486.60 / $927.20 / $1,093.43	Professional		$486.60	$927.20	$1,093.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $106.20	Professional		$32.34	$32.34	$106.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $78.81 / $200.94	Facility		$36.36	$78.81	$200.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $125.70 / $324.00	Professional		$52.75	$125.70	$324.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $155.77 / $155.77 / $413.03	Professional		$155.77	$155.77	$413.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $59.20 / $183.88	Professional		$36.11	$59.20	$183.88
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $2,546.00 / $7,655.00	Facility		$520.00	$2,546.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $127.04 / $306.25	Professional		$93.53	$127.04	$306.25