Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.96 / $4,494.00 / $16,193.96	Facility		$341.96	$4,494.00	$16,193.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $136.96 / $513.00	Professional		$98.64	$136.96	$513.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $129.19 / $129.19	Professional		$129.19	$129.19	$129.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $173.40 / $342.69	Professional		$132.30	$173.40	$342.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,403.01	Facility		$66.00	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $127.96 / $307.76	Professional		$94.28	$127.96	$307.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.06 / $126.53 / $298.08	Facility		$107.06	$126.53	$298.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $152.29 / $360.85	Professional		$108.64	$152.29	$360.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $167.48 / $205.54	Professional		$90.70	$167.48	$205.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $179.15 / $305.62	Professional		$130.55	$179.15	$305.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $600.44 / $650.61	Facility		$55.00	$600.44	$650.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $918.08 / $1,084.65 / $1,234.58	Professional		$918.08	$1,084.65	$1,234.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $166.56 / $243.95	Facility		$120.45	$166.56	$243.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $166.03 / $359.30	Professional		$109.39	$166.03	$359.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $390.42 / $390.42 / $421.67	Professional		$390.42	$390.42	$421.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $154.19 / $196.13	Professional		$90.70	$154.19	$196.13
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $147.60 / $401.85	Professional		$93.22	$147.60	$401.85