Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.53 / $5,068.00 / $17,133.00	Facility		$751.53	$5,068.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $332.96 / $826.68	Professional		$188.76	$332.96	$826.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $249.78 / $472.32	Professional		$114.97	$249.78	$472.32
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 $197.99 / $337.50 / $48,848.71	Professional		$197.99	$337.50	$48,848.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $310.92 / $4,886.39	Facility		$67.90	$310.92	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $223.70 / $521.61	Professional		$150.68	$223.70	$521.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $2,656.00	Facility		$633.00	$900.00	$2,656.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $250.36 / $548.37	Professional		$145.01	$250.36	$548.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $249.59 / $336.95	Professional		$137.60	$249.59	$336.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $209.92 / $377.37	Professional		$123.66	$209.92	$377.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $703.30 / $724.40	Facility		$55.00	$703.30	$724.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $896.80 / $1,030.05 / $1,720.20	Professional		$896.80	$1,030.05	$1,720.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $175.16	Professional		$32.34	$32.34	$175.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $227.49 / $434.97	Facility		$138.07	$227.49	$434.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.12 / $288.89 / $536.73	Professional		$154.12	$288.89	$536.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $412.19 / $412.19 / $664.64	Professional		$412.19	$412.19	$664.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $152.74 / $277.32	Professional		$124.88	$152.74	$277.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,928.00 / $9,131.00	Facility		$1,089.45	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $224.25 / $502.63	Professional		$158.34	$224.25	$502.63