Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.17 / $2,704.00 / $14,472.00	Facility		$124.17	$2,704.00	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $116.27 / $340.52	Professional		$71.37	$116.27	$340.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.31 / $155.31 / $155.31	Professional		$155.31	$155.31	$155.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,465.00 / $9,244.00	Facility		$1,723.00	$4,465.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $135.55 / $239.28	Professional		$82.14	$135.55	$239.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $196.84 / $1,596.84	Facility		$66.09	$196.84	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $145.63 / $297.24	Professional		$101.94	$145.63	$297.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $103.62 / $572.00	Facility		$75.00	$103.62	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $115.95 / $224.63	Professional		$62.13	$115.95	$224.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $99.78 / $147.77	Professional		$47.03	$99.78	$147.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $90.59 / $174.40	Professional		$43.31	$90.59	$174.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $199.68 / $219.34	Facility		$55.00	$199.68	$219.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.00 / $1,797.00 / $1,797.00	Professional		$1,797.00	$1,797.00	$1,797.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.39	Professional		$32.34	$32.34	$74.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $105.56 / $179.00	Facility		$50.42	$105.56	$179.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $119.98 / $226.26	Professional		$72.08	$119.98	$226.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $142.10 / $276.74	Professional		$142.10	$142.10	$276.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $88.46 / $139.69	Professional		$37.95	$88.46	$139.69
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,495.00 / $5,691.00	Facility		$466.00	$1,495.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $115.90 / $210.18	Professional		$69.02	$115.90	$210.18