Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.45 / $6,516.00 / $18,252.00	Facility		$99.45	$6,516.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $107.73 / $276.47	Professional		$86.10	$107.73	$276.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $98.29 / $98.29	Professional		$98.29	$98.29	$98.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $139.66 / $275.29	Professional		$96.29	$139.66	$275.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.12 / $183.02 / $223.50	Professional	50	$154.12	$183.02	$223.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $115.58 / $272.95	Professional		$86.85	$115.58	$272.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $133.97 / $329.02	Professional		$96.70	$133.97	$329.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $142.91 / $186.81	Professional		$119.10	$142.91	$186.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $135.00 / $241.06	Professional		$96.71	$135.00	$241.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $691.86 / $707.82	Facility		$55.00	$691.86	$707.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $818.01 / $1,073.61 / $2,278.08	Professional		$818.01	$1,073.61	$2,278.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.45 / $146.84 / $269.01	Facility		$99.45	$146.84	$269.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $147.34 / $334.16	Professional		$98.48	$147.34	$334.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $335.13 / $335.13 / $380.82	Professional		$335.13	$335.13	$380.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $153.79 / $247.95	Professional		$108.28	$153.79	$247.95
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $6,323.00	Facility		$510.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $114.80 / $292.13	Professional		$88.56	$114.80	$292.13