Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,749.00 / $16,008.00	Facility		$344.00	$4,749.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $129.15 / $280.54	Professional		$102.76	$129.15	$280.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $89.77 / $117.78	Professional		$71.15	$89.77	$117.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $177.39 / $337.20	Professional		$118.61	$177.39	$337.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $150.84 / $176.86 / $217.50	Professional	50	$150.84	$176.86	$217.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $154.91 / $327.89	Professional		$108.44	$154.91	$327.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $1,726.46 / $2,353.27	Facility		$372.64	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $147.63 / $281.39	Professional		$95.67	$147.63	$281.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $121.39 / $193.56	Professional		$78.56	$121.39	$193.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $128.24 / $224.42	Professional		$87.54	$128.24	$224.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $606.72 / $620.28 / $12,000.00	Facility		$606.72	$620.28	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $648.40 / $947.48 / $987.83	Professional		$648.40	$947.48	$987.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.71 / $152.22 / $243.26	Facility		$105.71	$152.22	$243.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $158.09 / $295.74	Professional		$99.28	$158.09	$295.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $296.36 / $296.36 / $393.74	Professional		$296.36	$296.36	$393.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $117.83 / $159.35	Professional		$90.88	$117.83	$159.35
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 $94.92 / $129.63 / $289.05	Professional		$94.92	$129.63	$289.05