Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.96 / $249.37 / $885.64	Professional		$154.96	$249.37	$885.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $291.88 / $291.88	Professional		$291.88	$291.88	$291.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $260.77 / $585.94	Professional		$158.57	$260.77	$585.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,663.63	Facility		$67.90	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $241.13 / $519.76	Professional		$168.22	$241.13	$519.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.57 / $1,658.93 / $4,716.43	Facility		$447.57	$1,658.93	$4,716.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $299.08 / $692.73	Professional		$179.41	$299.08	$692.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $219.25 / $501.97	Professional		$116.53	$219.25	$501.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $321.04 / $579.07	Professional		$177.15	$321.04	$579.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.11 / $1,221.24 / $12,000.00	Facility		$1,197.11	$1,221.24	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,259.59 / $2,230.64 / $2,641.73	Professional		$1,259.59	$2,230.64	$2,641.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $438.49	Professional		$32.34	$32.34	$438.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.62 / $265.73 / $483.84	Facility		$155.62	$265.73	$483.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $338.10 / $752.80	Professional		$182.15	$338.10	$752.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $562.38 / $562.38 / $974.71	Professional		$562.38	$562.38	$974.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $191.04 / $428.99	Professional		$116.53	$191.04	$428.99
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 $219.18 / $303.49 / $730.70	Professional		$219.18	$303.49	$730.70