Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.52 / $4,969.00 / $17,328.00	Facility		$257.52	$4,969.00	$17,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $192.07 / $522.37	Professional		$68.75	$192.07	$522.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $283.70 / $283.70	Professional		$283.70	$283.70	$283.70
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 $67.16 / $184.49 / $447.53	Professional		$67.16	$184.49	$447.53
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 $79.90 / $193.85 / $441.09	Professional		$79.90	$193.85	$441.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.72 / $633.00 / $2,151.00	Facility		$258.72	$633.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $212.62 / $592.05	Professional		$74.18	$212.62	$592.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $85.19 / $425.54	Professional		$29.04	$85.19	$425.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $259.62 / $499.00	Professional		$76.18	$259.62	$499.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $430.25 / $455.25 / $11,500.00	Facility		$430.25	$455.25	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.28 / $1,944.96 / $2,300.92	Professional		$1,023.28	$1,944.96	$2,300.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $229.66	Professional		$32.34	$32.34	$229.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $145.34 / $430.08	Facility		$68.97	$145.34	$430.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $219.01 / $670.27	Professional		$76.23	$219.01	$670.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $244.29 / $244.29 / $862.19	Professional		$244.29	$244.29	$862.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $62.26 / $394.24	Professional		$29.04	$62.26	$394.24
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,964.00 / $9,131.00	Facility		$740.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.78 / $263.16 / $631.05	Professional		$185.78	$263.16	$631.05