Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.44 / $4,429.00 / $16,125.00	Facility		$161.44	$4,429.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $126.84 / $529.00	Professional		$27.14	$126.84	$529.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $250.80 / $635.00	Professional		$250.80	$250.80	$635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,694.00 / $11,233.00	Facility		$2,143.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $52.54 / $257.77	Professional		$32.94	$52.54	$257.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,599.98	Facility		$66.00	$100.00	$1,599.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $104.64 / $239.82	Professional		$32.63	$104.64	$239.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.78 / $173.09 / $1,487.00	Facility		$172.78	$173.09	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $135.08 / $272.83	Professional		$33.13	$135.08	$272.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $117.65 / $176.36	Professional		$32.22	$117.65	$176.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $106.07 / $221.97	Professional		$29.56	$106.07	$221.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $134.74 / $208.50	Facility		$55.00	$134.74	$208.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $423.37 / $852.84 / $952.58	Professional		$423.37	$852.84	$952.58
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 $34.47 / $103.48 / $189.68	Facility		$34.47	$103.48	$189.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $135.31 / $299.11	Professional		$33.94	$135.31	$299.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $100.18 / $423.56	Professional		$100.18	$100.18	$423.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $123.85 / $169.41	Professional		$29.26	$123.85	$169.41
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $140.12 / $294.26	Professional		$96.93	$140.12	$294.26