Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $2,752.00 / $14,699.00	Facility		$247.50	$2,752.00	$14,699.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $141.97 / $634.00	Professional		$93.23	$141.97	$634.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $222.85	Professional		$222.85	$222.85	$222.85
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 $107.77 / $175.98 / $361.75	Professional		$107.77	$175.98	$361.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,273.44	Facility		$66.00	$100.00	$5,273.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $139.35 / $319.73	Professional		$99.25	$139.35	$319.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $162.38 / $382.58	Facility		$137.41	$162.38	$382.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $163.32 / $397.92	Professional		$99.83	$163.32	$397.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $142.35 / $253.94	Professional		$62.83	$142.35	$253.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $196.47 / $346.03	Professional		$115.43	$196.47	$346.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $522.04 / $556.84	Facility		$55.00	$522.04	$556.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,321.28 / $1,557.53	Professional		$794.00	$1,321.28	$1,557.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.56 / $161.50 / $280.23	Facility		$109.56	$161.50	$280.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $174.09 / $397.92	Professional		$100.74	$174.09	$397.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $335.92 / $335.92 / $516.25	Professional		$335.92	$335.92	$516.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $106.81 / $256.52	Professional		$62.83	$106.81	$256.52
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 $111.75 / $169.86 / $472.68	Professional		$111.75	$169.86	$472.68