Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.73 / $5,076.00 / $17,380.00	Facility		$265.73	$5,076.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $222.94 / $657.55	Professional		$126.82	$222.94	$657.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.75 / $363.00 / $363.00	Professional		$265.75	$363.00	$363.00
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 $124.90 / $219.80 / $504.42	Professional		$124.90	$219.80	$504.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $1,514.82	Facility		$67.90	$100.00	$1,514.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $190.37 / $417.91	Professional		$133.26	$190.37	$417.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.21 / $424.43 / $775.00	Facility		$209.21	$424.43	$775.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $252.19 / $571.38	Professional		$144.47	$252.19	$571.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $172.55 / $367.33	Professional		$91.21	$172.55	$367.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $251.45 / $455.86	Professional		$141.85	$251.45	$455.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $956.10 / $972.72	Facility		$55.00	$956.10	$972.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.08 / $1,749.68 / $2,050.28	Professional		$1,010.08	$1,749.68	$2,050.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $201.20	Professional		$32.34	$32.34	$201.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.24 / $220.69 / $382.64	Facility		$133.24	$220.69	$382.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.65 / $281.38 / $603.96	Professional		$146.65	$281.38	$603.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $446.66 / $446.66 / $789.27	Professional		$446.66	$446.66	$789.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $149.54 / $340.21	Professional		$91.21	$149.54	$340.21
United Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,302.00 / $5,691.00	Facility		$141.00	$1,302.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.72 / $247.30 / $603.11	Professional		$182.72	$247.30	$603.11