Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.40 / $5,324.00 / $17,013.00	Facility		$572.40	$5,324.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $156.78 / $642.24	Professional		$101.54	$156.78	$642.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $351.76 / $351.76 / $403.96	Professional		$351.76	$351.76	$403.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,244.00	Facility		$1,723.00	$4,505.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $204.30 / $465.25	Professional		$130.30	$204.30	$465.25
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 $103.78 / $154.69 / $364.87	Professional		$103.78	$154.69	$364.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.02 / $243.48 / $573.61	Facility		$206.02	$243.48	$573.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $222.04 / $543.02	Professional		$137.12	$222.04	$543.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $210.31 / $340.31	Professional		$118.06	$210.31	$340.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.04 / $245.75 / $428.01	Professional		$154.04	$245.75	$428.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $710.36 / $762.95	Facility		$55.00	$710.36	$762.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.68 / $1,688.72 / $1,925.03	Professional		$1,125.68	$1,688.72	$1,925.03
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 $154.66 / $236.17 / $372.53	Facility		$154.66	$236.17	$372.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $236.20 / $543.02	Professional		$137.16	$236.20	$543.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $492.87 / $492.87 / $712.86	Professional		$492.87	$492.87	$712.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $194.71 / $315.22	Professional		$118.06	$194.71	$315.22
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $6,323.00	Facility		$526.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $235.71 / $694.13	Professional		$154.91	$235.71	$694.13