Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $229.48 / $489.75	Facility		$92.52	$229.48	$489.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $24.42 / $93.93	Professional		$12.51	$24.42	$93.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.41 / $62.85	Professional		$11.21	$15.41	$62.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,589.00	Facility		$1,787.00	$4,539.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $28.21 / $82.00	Professional		$14.81	$28.21	$82.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $1,581.82	Facility		$64.40	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $20.25 / $50.34	Professional		$15.05	$20.25	$50.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Facility		$13.02	$13.02	$13.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $22.20 / $65.00	Professional		$14.81	$22.20	$65.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $20.83 / $71.04	Professional		$15.43	$20.83	$71.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.43 / $29.21	Professional		$11.87	$15.43	$29.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $2,922.50 / $2,922.50	Facility		$31.50	$2,922.50	$2,922.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $804.00 / $804.00 / $804.00	Professional		$804.00	$804.00	$804.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $19.20 / $31.67	Facility		$12.48	$19.20	$31.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $22.32 / $35.11	Professional		$14.03	$22.32	$35.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $34.29 / $34.29	Professional		$34.29	$34.29	$34.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $17.14 / $100.63	Professional		$12.47	$17.14	$100.63
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $18.55 / $36.15	Professional		$8.69	$18.55	$36.15