Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,397.00 / $16,125.00	Facility		$344.00	$4,397.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $179.36 / $497.98	Professional		$76.28	$179.36	$497.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $41.67 / $41.67	Professional		$41.67	$41.67	$41.67
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 $82.21 / $117.37 / $301.45	Professional		$82.21	$117.37	$301.45
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 $90.25 / $178.70 / $347.21	Professional		$90.25	$178.70	$347.21
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 $87.03 / $189.70 / $356.81	Professional		$87.03	$189.70	$356.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $120.39 / $304.14	Professional		$82.28	$120.39	$304.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $191.41 / $351.98	Professional		$92.06	$191.41	$351.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $519.95 / $525.10 / $12,000.00	Facility		$519.95	$525.10	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $734.44 / $1,410.78 / $1,610.48	Professional		$734.44	$1,410.78	$1,610.48
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 $89.91 / $174.00 / $292.88	Facility		$89.91	$174.00	$292.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $201.04 / $377.73	Professional		$88.18	$201.04	$377.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $279.64 / $601.82	Professional		$279.64	$279.64	$601.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $134.88 / $250.06	Professional		$87.21	$134.88	$250.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,741.00 / $8,345.00	Facility		$1,407.00	$2,741.00	$8,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $196.54 / $415.20	Professional		$146.16	$196.54	$415.20