Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.03 / $3,546.09 / $16,713.00	Facility		$99.03	$3,546.09	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $109.92 / $369.48	Professional		$36.57	$109.92	$369.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $127.64 / $268.52	Professional		$96.95	$127.64	$268.52
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 $36.86 / $73.87 / $188.43	Professional		$36.86	$73.87	$188.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $100.00 / $1,514.82	Facility		$67.30	$100.00	$1,514.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $91.56 / $178.34	Professional		$43.14	$91.56	$178.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $53.00 / $679.75	Facility		$50.00	$53.00	$679.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $92.77 / $253.57	Professional		$41.65	$92.77	$253.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $48.97 / $178.84	Professional		$21.97	$48.97	$178.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $114.88 / $213.00	Professional		$42.27	$114.88	$213.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $237.05 / $241.55	Facility		$55.00	$237.05	$241.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $820.40 / $966.30	Professional		$429.56	$820.40	$966.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $96.92	Professional		$32.34	$32.34	$96.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $73.05 / $179.84	Facility		$36.57	$73.05	$179.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $100.26 / $286.27	Professional		$42.75	$100.26	$286.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $345.67	Professional		$132.88	$132.88	$345.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $39.54 / $165.68	Professional		$21.97	$39.54	$165.68
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $104.33 / $256.18	Professional		$74.27	$104.33	$256.18