Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.77 / $2,704.00 / $13,782.00	Facility		$199.77	$2,704.00	$13,782.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.64 / $75.28 / $443.79	Facility	52	$35.64	$75.28	$443.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $150.55 / $621.94	Professional		$67.79	$150.55	$621.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $140.12 / $140.12	Professional		$101.09	$140.12	$140.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $100.72 / $258.39	Professional		$76.84	$100.72	$258.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $144.80 / $283.26	Professional		$72.25	$144.80	$283.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.06 / $731.35 / $1,487.00	Facility		$730.06	$731.35	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $153.58 / $281.94	Professional		$73.77	$153.58	$281.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $90.05 / $241.87	Professional		$66.70	$90.05	$241.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $144.99 / $277.55	Professional		$63.30	$144.99	$277.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $360.40 / $426.05 / $12,000.00	Facility		$360.40	$426.05	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $233.74 / $243.13 / $243.13	Facility	52	$233.74	$243.13	$243.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.79 / $1,142.11 / $1,242.38	Professional		$568.79	$1,142.11	$1,242.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $138.21 / $235.16	Facility		$70.38	$138.21	$235.16
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $160.21 / $307.07	Professional		$74.45	$160.21	$307.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $200.17 / $462.24	Professional		$200.17	$200.17	$462.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $114.67 / $198.98	Professional		$60.45	$114.67	$198.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,399.00	Facility		$1,198.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $158.80 / $354.24	Professional		$111.16	$158.80	$354.24