Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.91 / $8,409.00 / $19,860.00	Facility		$1,705.91	$8,409.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.56 / $2,098.00	Professional		$190.55	$309.56	$2,098.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.01 / $199.01 / $371.50	Professional		$199.01	$199.01	$371.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,400.00	Facility		$2,143.00	$5,931.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $376.75 / $653.55	Professional		$279.33	$376.75	$653.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $16,285.96	Facility		$64.40	$100.00	$16,285.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $241.07 / $533.94	Professional		$167.36	$241.07	$533.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,500.00 / $6,500.00 / $6,500.00	Facility		$6,500.00	$6,500.00	$6,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.70 / $262.39 / $574.08	Professional		$207.70	$262.39	$574.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $205.51 / $236.34 / $308.27	Professional		$205.51	$236.34	$308.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.53 / $259.73 / $534.16	Professional		$188.53	$259.73	$534.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,752.26 / $4,634.70 / $5,897.00	Facility		$2,752.26	$4,634.70	$5,897.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $255.31 / $598.89 / $621.89	Facility	62	$255.31	$598.89	$621.89
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $40.85 / $95.82 / $99.50	Facility	AS	$40.85	$95.82	$99.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,668.75 / $3,668.75 / $3,668.75	Professional		$3,668.75	$3,668.75	$3,668.75
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 $214.34 / $264.12 / $422.21	Facility		$214.34	$264.12	$422.21
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $146.80 / $146.80 / $311.66	Facility	62	$146.80	$146.80	$311.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $79.79 / $79.79 / $79.79	Facility	80	$79.79	$79.79	$79.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $23.49 / $23.49 / $67.81	Facility	AS	$23.49	$23.49	$67.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.70 / $270.18 / $557.14	Professional		$207.70	$270.18	$557.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $663.97 / $663.97 / $663.97	Professional		$663.97	$663.97	$663.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $242.11 / $388.75	Professional		$198.09	$242.11	$388.75
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,810.00 / $14,315.00	Facility		$587.00	$1,810.00	$14,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.64 / $226.81 / $525.60	Professional		$171.64	$226.81	$525.60