Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,382.00 / $16,713.00	Facility		$550.00	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $236.56 / $706.09	Professional		$114.41	$236.56	$706.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $114.60 / $114.60	Professional		$114.60	$114.60	$114.60
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 $181.33 / $274.20 / $781.63	Professional		$181.33	$274.20	$781.63
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 $132.60 / $266.51 / $521.16	Professional		$132.60	$266.51	$521.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $279.88 / $542.03	Professional		$136.22	$279.88	$542.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $188.33 / $458.60	Professional		$134.52	$188.33	$458.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $253.05 / $458.60	Professional		$120.90	$253.05	$458.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $549.53 / $594.04	Facility		$55.00	$549.53	$594.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.12 / $1,955.12 / $2,259.83	Professional		$1,016.12	$1,955.12	$2,259.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $228.04	Professional		$32.34	$32.34	$228.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.19 / $249.91 / $443.84	Facility		$123.19	$249.91	$443.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $303.39 / $681.41	Professional		$142.11	$303.39	$681.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $409.22 / $409.22 / $928.55	Professional		$409.22	$409.22	$928.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $149.38 / $377.62	Professional		$108.65	$149.38	$377.62
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 $224.71 / $325.13 / $774.80	Professional		$224.71	$325.13	$774.80