Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.86 / $4,056.00 / $16,008.00	Facility		$98.86	$4,056.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $93.33 / $416.00	Professional		$65.40	$93.33	$416.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $100.19 / $100.19	Professional		$100.19	$100.19	$100.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$4,418.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $114.11 / $243.49	Professional		$76.86	$114.11	$243.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $89.88 / $183.74	Professional		$65.78	$89.88	$183.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $107.98 / $209.56	Professional		$75.55	$107.98	$209.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $82.68 / $130.40	Professional		$60.68	$82.68	$130.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $101.47 / $180.00	Professional		$68.92	$101.47	$180.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $314.87 / $335.30	Facility		$55.00	$314.87	$335.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $497.04 / $669.04 / $792.30	Professional		$497.04	$669.04	$792.30
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 $79.73 / $103.13 / $147.62	Facility		$79.73	$103.13	$147.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $114.22 / $226.52	Professional		$77.31	$114.22	$226.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $229.30 / $229.30 / $300.23	Professional		$229.30	$229.30	$300.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $84.96 / $120.63	Professional		$60.68	$84.96	$120.63
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $101.98 / $231.33	Professional		$74.20	$101.98	$231.33