Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $4,704.00 / $16,008.00	Facility		$261.00	$4,704.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $191.86 / $673.00	Professional		$76.34	$191.86	$673.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $140.60 / $181.95	Professional		$140.60	$140.60	$181.95
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 $84.05 / $159.16 / $347.59	Professional		$84.05	$159.16	$347.59
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 $69.56 / $144.54 / $282.08	Professional		$69.56	$144.54	$282.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.49 / $150.66 / $354.97	Facility		$127.49	$150.66	$354.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $147.83 / $389.97	Professional		$77.31	$147.83	$389.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $93.54 / $207.15	Professional		$40.54	$93.54	$207.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $155.44 / $281.20	Professional		$76.54	$155.44	$281.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $351.44 / $372.92	Facility		$55.00	$351.44	$372.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $576.42 / $1,080.00 / $1,272.98	Professional		$576.42	$1,080.00	$1,272.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $136.28 / $236.09	Facility		$76.34	$136.28	$236.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $154.40 / $385.45	Professional		$79.37	$154.40	$385.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $244.29 / $244.29 / $477.51	Professional		$244.29	$244.29	$477.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $68.91 / $209.26	Professional		$40.54	$68.91	$209.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $160.29 / $467.78	Professional		$108.30	$160.29	$467.78