Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $5,980.00 / $14,699.00	Facility		$802.00	$5,980.00	$14,699.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $302.24 / $721.42	Professional		$87.19	$302.24	$721.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $195.59 / $1,566.57	Professional		$74.34	$195.59	$1,566.57
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 $107.28 / $260.26 / $604.72	Professional		$107.28	$260.26	$604.72
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 $107.86 / $237.29 / $508.86	Professional		$107.86	$237.29	$508.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $900.00 / $2,389.58	Facility		$339.00	$900.00	$2,389.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.05 / $252.54 / $638.67	Professional		$100.05	$252.54	$638.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $168.28 / $494.98	Professional		$96.17	$168.28	$494.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $277.72 / $533.23	Professional		$86.31	$277.72	$533.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $493.25 / $733.39 / $12,000.00	Facility		$493.25	$733.39	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.99 / $2,242.03 / $2,465.03	Professional		$1,094.99	$2,242.03	$2,465.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $339.92	Professional		$32.34	$32.34	$339.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.97 / $210.00 / $495.00	Facility		$96.97	$210.00	$495.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $254.37 / $741.19	Professional		$103.56	$254.37	$741.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $292.25 / $292.25 / $1,048.40	Professional		$292.25	$292.25	$1,048.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $212.21 / $423.36	Professional		$106.80	$212.21	$423.36
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,786.00 / $9,072.00	Facility		$705.00	$3,786.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.14 / $337.91 / $800.94	Professional		$240.14	$337.91	$800.94