Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.41 / $4,056.00 / $15,877.00	Facility		$316.41	$4,056.00	$15,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $139.19 / $582.00	Professional		$95.75	$139.19	$582.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $164.11 / $164.11	Professional		$164.11	$164.11	$164.11
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 $116.35 / $177.39 / $370.14	Professional		$116.35	$177.39	$370.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $137.35 / $276.77	Professional		$99.01	$137.35	$276.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $164.53 / $294.68	Facility		$56.00	$164.53	$294.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $166.02 / $323.08	Professional		$115.38	$166.02	$323.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $130.13 / $219.07	Professional		$91.21	$130.13	$219.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $164.35 / $291.08	Professional		$107.44	$164.35	$291.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $488.97 / $523.83	Facility		$55.00	$488.97	$523.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $759.84 / $1,093.83 / $1,315.65	Professional		$759.84	$1,093.83	$1,315.65
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 $123.91 / $164.35 / $243.20	Facility		$123.91	$164.35	$243.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $178.13 / $362.66	Professional		$117.73	$178.13	$362.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $343.74 / $343.74 / $475.98	Professional		$343.74	$343.74	$475.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $131.16 / $202.65	Professional		$95.39	$131.16	$202.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,399.00	Facility		$1,198.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $154.91 / $315.98	Professional		$114.62	$154.91	$315.98