Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $16,125.00	Facility		$365.00	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $218.82 / $711.93	Professional		$110.86	$218.82	$711.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $111.44 / $111.44	Professional		$111.44	$111.44	$111.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,863.00 / $11,400.00	Facility		$2,160.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $266.02 / $723.00	Professional		$143.31	$266.02	$723.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $250.52 / $487.58	Professional		$131.10	$250.52	$487.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $259.08 / $495.44	Professional		$133.16	$259.08	$495.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $163.61 / $420.85	Professional		$108.34	$163.61	$420.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $243.54 / $418.94	Professional		$117.59	$243.54	$418.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $534.36 / $577.84	Facility		$55.00	$534.36	$577.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $937.70 / $967.35 / $2,628.00	Professional		$937.70	$967.35	$2,628.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $211.02	Professional		$32.34	$32.34	$211.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.84 / $235.22 / $409.54	Facility		$119.84	$235.22	$409.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.08 / $284.25 / $626.94	Professional		$138.08	$284.25	$626.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $398.70 / $398.70 / $863.94	Professional		$398.70	$398.70	$863.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $151.68 / $346.53	Professional		$105.71	$151.68	$346.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $8,345.00	Facility		$1,410.00	$2,761.00	$8,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.50 / $305.33 / $900.13	Professional		$208.50	$305.33	$900.13