Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.83 / $2,644.31 / $12,101.00	Facility		$340.83	$2,644.31	$12,101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $136.93 / $521.71	Professional		$58.42	$136.93	$521.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $133.19 / $502.99	Professional		$57.16	$133.19	$502.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $154.74 / $316.14	Professional		$72.84	$154.74	$316.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $115.10 / $225.50	Professional		$54.39	$115.10	$225.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $145.47 / $460.26	Professional		$62.02	$145.47	$460.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $185.45 / $413.41	Professional		$66.18	$185.45	$413.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $197.11 / $402.10	Professional		$58.65	$197.11	$402.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $593.23 / $593.23	Facility		$55.00	$593.23	$593.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.73 / $1,970.70 / $2,976.11	Professional		$1,062.73	$1,970.70	$2,976.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $197.74	Professional		$32.34	$32.34	$197.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.31 / $133.01 / $371.44	Facility		$59.31	$133.01	$371.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $155.10 / $548.83	Professional		$64.55	$155.10	$548.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $187.27 / $187.27 / $653.70	Professional		$187.27	$187.27	$653.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $241.09 / $340.48	Professional		$59.31	$241.09	$340.48
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.31 / $199.58 / $528.25	Professional		$121.31	$199.58	$528.25