Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.60 / $3,598.88 / $15,522.00	Facility		$175.60	$3,598.88	$15,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $96.17 / $364.00	Professional		$46.42	$96.17	$364.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.00 / $44.69 / $193.49	Professional	52	$21.00	$44.69	$193.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.27 / $398.27 / $398.27	Professional		$398.27	$398.27	$398.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $93.57 / $200.29	Professional		$48.36	$93.57	$200.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $100.00 / $187.23	Professional		$49.88	$100.00	$187.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.38 / $77.26 / $182.02	Facility		$65.38	$77.26	$182.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $86.88 / $220.07	Professional		$41.58	$86.88	$220.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $78.56 / $114.67	Professional		$32.22	$78.56	$114.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $77.20 / $142.09	Professional		$29.56	$77.20	$142.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $140.79 / $148.69	Facility		$55.00	$140.79	$148.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $663.12 / $663.12	Professional		$285.88	$663.12	$663.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $77.52 / $141.53	Facility		$34.13	$77.52	$141.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $90.15 / $205.76	Professional		$41.89	$90.15	$205.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $100.18 / $249.25	Professional		$100.18	$100.18	$249.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $94.27 / $138.69	Professional		$35.76	$94.27	$138.69
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,506.00 / $6,323.00	Facility		$421.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $98.87 / $262.08	Professional		$62.06	$98.87	$262.08