Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.32 / $5,068.00 / $17,133.00	Facility		$475.32	$5,068.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $248.75 / $764.43	Professional		$113.70	$248.75	$764.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.26 / $190.26 / $323.00	Professional		$190.26	$190.26	$323.00
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 $146.84 / $243.75 / $36,290.03	Professional		$146.84	$243.75	$36,290.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $100.00 / $1,514.82	Facility		$67.59	$100.00	$1,514.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $147.62 / $273.87	Professional		$99.11	$147.62	$273.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $750.00 / $5,431.00	Facility		$158.83	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $185.19 / $409.86	Professional		$108.16	$185.19	$409.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $168.37 / $235.26	Professional		$105.23	$168.37	$235.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $152.22 / $280.50	Professional		$93.89	$152.22	$280.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $532.90 / $546.00	Facility		$55.00	$532.90	$546.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $678.96 / $780.60 / $1,247.33	Professional		$678.96	$780.60	$1,247.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $126.46	Professional		$32.34	$32.34	$126.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.11 / $167.45 / $292.45	Facility		$105.11	$167.45	$292.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $216.76 / $385.78	Professional		$115.16	$216.76	$385.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $307.20 / $474.30	Professional		$307.20	$307.20	$474.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.05 / $116.82 / $201.07	Professional		$95.05	$116.82	$201.07
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 $113.86 / $159.90 / $392.30	Professional		$113.86	$159.90	$392.30