Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.59 / $4,848.00 / $16,713.00	Facility		$213.59	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $49.78 / $183.10	Professional		$40.15	$49.78	$183.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $57.23 / $57.23	Professional		$57.23	$57.23	$57.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $70.77 / $141.50	Professional		$46.45	$70.77	$141.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $1,643.40	Facility		$64.20	$100.00	$1,643.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $53.94 / $128.52	Professional		$40.11	$53.94	$128.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $58.03 / $131.88	Professional		$42.71	$58.03	$131.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $47.52 / $64.61	Professional		$43.07	$47.52	$64.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $55.24 / $96.07	Professional		$39.97	$55.24	$96.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $183.18 / $193.94	Facility		$55.00	$183.18	$193.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $389.19 / $420.90	Professional		$289.52	$389.19	$420.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $58.58 / $81.94	Facility		$43.97	$58.58	$81.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $60.48 / $128.36	Professional		$43.22	$60.48	$128.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $132.52 / $164.98	Professional		$132.52	$132.52	$164.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $47.91 / $62.71	Professional		$34.84	$47.91	$62.71
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $58.40 / $170.84	Professional		$39.65	$58.40	$170.84