Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.71 / $4,429.00 / $16,008.00	Facility		$170.71	$4,429.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $161.90 / $650.00	Professional		$103.26	$161.90	$650.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $178.10 / $178.10	Professional		$178.10	$178.10	$178.10
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 $127.79 / $186.32 / $383.79	Professional		$127.79	$186.32	$383.79
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 $105.32 / $150.44 / $342.17	Professional		$105.32	$150.44	$342.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $116.39 / $274.20	Facility		$98.49	$116.39	$274.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $159.87 / $374.97	Professional		$107.87	$159.87	$374.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $114.77 / $197.89	Professional		$74.98	$114.77	$197.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $159.72 / $279.51	Professional		$99.80	$159.72	$279.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $470.36 / $486.54	Facility		$55.00	$470.36	$486.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $722.72 / $1,090.16 / $1,276.20	Professional		$722.72	$1,090.16	$1,276.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.03 / $170.32 / $243.52	Facility		$116.03	$170.32	$243.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $168.52 / $369.46	Professional		$110.13	$168.52	$369.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $329.80 / $476.46	Professional		$329.80	$329.80	$476.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $107.99 / $199.79	Professional		$74.98	$107.99	$199.79
United Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $1,523.00 / $7,317.00	Facility		$534.00	$1,523.00	$7,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $168.43 / $493.59	Professional		$112.59	$168.43	$493.59