Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.63 / $4,941.00 / $17,013.00	Facility		$224.63	$4,941.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $190.12 / $749.00	Professional		$107.42	$190.12	$749.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $246.13 / $544.23	Professional		$246.13	$246.13	$544.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $183.30 / $434.35	Professional		$104.53	$183.30	$434.35
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 $109.00 / $164.06 / $360.12	Professional		$109.00	$164.06	$360.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $888.30 / $2,226.34	Facility		$339.00	$888.30	$2,226.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $218.17 / $523.58	Professional		$119.80	$218.17	$523.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $143.44 / $411.45	Professional		$49.89	$143.44	$411.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.81 / $258.10 / $468.96	Professional		$124.81	$258.10	$468.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $839.22 / $858.36 / $12,000.00	Facility		$839.22	$858.36	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $948.57 / $1,781.92 / $2,108.10	Professional		$948.57	$1,781.92	$2,108.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $348.32	Professional		$32.34	$32.34	$348.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $185.73 / $384.81	Facility		$101.25	$185.73	$384.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $247.15 / $593.87	Professional		$124.21	$247.15	$593.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $388.70 / $762.57	Professional		$388.70	$388.70	$762.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $106.95 / $351.75	Professional		$49.89	$106.95	$351.75
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 $163.50 / $235.44 / $644.70	Professional		$163.50	$235.44	$644.70