Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.72 / $5,102.00 / $16,573.00	Facility		$337.72	$5,102.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $262.48 / $736.00	Professional		$136.43	$262.48	$736.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.40 / $195.80 / $321.75	Professional		$142.40	$195.80	$321.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $225.32 / $462.33	Professional		$151.02	$225.32	$462.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,349.65	Facility		$66.00	$100.00	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $159.22 / $378.63	Professional		$111.45	$159.22	$378.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.02 / $113.48 / $267.35	Facility		$96.02	$113.48	$267.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $189.75 / $432.23	Professional		$141.09	$189.75	$432.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $147.28 / $215.03	Professional		$86.14	$147.28	$215.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $187.84 / $324.81	Professional		$133.63	$187.84	$324.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $622.88 / $652.89	Facility		$55.00	$622.88	$652.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $962.08 / $1,212.56 / $1,423.43	Professional		$962.08	$1,212.56	$1,423.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $196.18 / $265.63	Facility		$147.00	$196.18	$265.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.49 / $199.02 / $412.34	Professional		$143.49	$199.02	$412.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $435.39 / $435.39 / $533.97	Professional		$435.39	$435.39	$533.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $133.69 / $217.01	Professional		$86.14	$133.69	$217.01
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 $126.40 / $178.98 / $554.11	Professional		$126.40	$178.98	$554.11