Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.35 / $3,989.00 / $15,747.00	Facility		$189.35	$3,989.00	$15,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $164.49 / $642.00	Professional		$111.95	$164.49	$642.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $144.10 / $222.00	Professional		$118.72	$144.10	$222.00
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 $137.08 / $188.83 / $363.21	Professional		$137.08	$188.83	$363.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.38 / $319.20	Professional		$100.00	$141.38	$319.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $134.66 / $241.18	Facility		$56.00	$134.66	$241.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $176.47 / $339.01	Professional		$132.16	$176.47	$339.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $143.69 / $205.78	Professional		$103.87	$143.69	$205.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $171.37 / $284.92	Professional		$119.28	$171.37	$284.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $561.65 / $588.62	Facility		$55.00	$561.65	$588.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $855.78 / $1,063.59 / $1,330.80	Professional		$855.78	$1,063.59	$1,330.80
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 $134.55 / $174.15 / $233.27	Facility		$134.55	$174.15	$233.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $185.21 / $368.54	Professional		$134.09	$185.21	$368.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $385.26 / $385.26 / $477.83	Professional		$385.26	$385.26	$477.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $145.41 / $190.07	Professional		$118.33	$145.41	$190.07
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $160.74 / $359.07	Professional		$116.64	$160.74	$359.07