Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.31 / $3,989.00 / $15,877.00	Facility		$216.31	$3,989.00	$15,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $91.58 / $382.63	Professional		$44.28	$91.58	$382.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.05 / $73.05	Professional		$73.05	$73.05	$73.05
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 $49.12 / $74.20 / $173.26	Professional		$49.12	$74.20	$173.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $84.73 / $177.33	Professional		$50.39	$84.73	$177.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.29 / $117.35 / $276.45	Facility		$99.29	$117.35	$276.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $84.36 / $222.33	Professional		$46.24	$84.36	$222.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $110.20 / $190.57	Professional		$68.84	$110.20	$190.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $135.37 / $238.22	Professional		$66.06	$135.37	$238.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $305.79 / $315.45	Facility		$55.00	$305.79	$315.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $433.00 / $765.52 / $1,138.05	Professional		$433.00	$765.52	$1,138.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $102.60 / $197.53	Facility		$60.54	$102.60	$197.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $89.04 / $230.40	Professional		$47.82	$89.04	$230.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $140.65 / $292.12	Professional		$140.65	$140.65	$292.12
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 $69.38 / $102.40 / $287.20	Professional		$69.38	$102.40	$287.20