Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,165.95 / $17,378.01	Facility		$100.00	$6,165.95	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $239.88	Professional		$38.02	$63.10	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $154.88	Professional		$45.71	$70.79	$154.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $1,778.28	Facility		$66.07	$169.82	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $151.36	Professional		$42.66	$64.57	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $158.49	Professional		$42.66	$64.57	$158.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $173.78	Professional		$46.77	$95.50	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $123.03	Professional		$38.90	$67.61	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,995.26	Professional		$1,047.13	$1,047.13	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $85.11	Professional		$51.29	$51.29	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $64.57 / $109.65	Facility		$41.69	$64.57	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $158.49	Professional		$42.66	$66.07	$158.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $194.98	Professional		$134.90	$134.90	$194.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $173.78 / $275.42	Professional		$38.90	$173.78	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,548.82 / $6,309.57	Facility		$575.44	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $102.33	Professional		$35.48	$52.48	$102.33