Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $6,695.00 / $19,860.00	Facility		$146.55	$6,695.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $149.22 / $696.00	Professional		$112.77	$149.22	$696.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $145.72	Professional		$145.72	$145.72	$145.72
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 $107.31 / $171.15 / $370.21	Professional		$107.31	$171.15	$370.21
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 $89.73 / $116.60 / $293.12	Professional		$89.73	$116.60	$293.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $167.61 / $386.02	Professional		$113.78	$167.61	$386.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $139.36 / $202.77	Professional		$69.62	$139.36	$202.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $174.20 / $288.00	Professional		$117.35	$174.20	$288.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $530.00 / $589.33	Facility		$55.00	$530.00	$589.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $829.84 / $1,063.59 / $1,236.53	Professional		$829.84	$1,063.59	$1,236.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $169.98 / $239.12	Facility		$117.03	$169.98	$239.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $177.52 / $375.27	Professional		$115.16	$177.52	$375.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $361.93 / $361.93 / $466.52	Professional		$361.93	$361.93	$466.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $126.69 / $204.89	Professional		$87.80	$126.69	$204.89
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $160.07 / $469.55	Professional		$110.37	$160.07	$469.55