Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $4,848.00 / $16,109.00	Facility		$426.00	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $355.91 / $740.00	Professional		$69.63	$355.91	$740.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $90.46 / $90.46	Professional		$68.05	$90.46	$90.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,836.00 / $10,536.00	Facility		$1,988.00	$4,836.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $549.37 / $1,169.32	Professional		$164.84	$549.37	$1,169.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $282.49 / $714.69	Professional		$101.67	$282.49	$714.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Facility		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $312.86 / $769.77	Professional		$91.40	$312.86	$769.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $341.03 / $727.31	Professional		$77.45	$341.03	$727.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $340.00 / $703.75	Professional		$69.37	$340.00	$703.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $739.75 / $739.75	Facility		$55.00	$739.75	$739.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.11 / $2,905.60 / $3,414.83	Professional		$1,502.11	$2,905.60	$3,414.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $338.48	Professional		$32.34	$32.34	$338.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $277.63 / $682.20	Facility		$73.98	$277.63	$682.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $339.75 / $990.73	Professional		$99.00	$339.75	$990.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $232.60 / $232.60 / $1,308.53	Professional		$232.60	$232.60	$1,308.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $435.75 / $599.16	Professional		$62.55	$435.75	$599.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $10,001.00 / $23,219.00	Facility		$5,670.00	$10,001.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $454.71 / $1,136.01	Professional		$317.70	$454.71	$1,136.01