Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $4,848.00 / $16,008.00	Facility		$315.08	$4,848.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $240.00 / $494.38	Professional		$100.67	$240.00	$494.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.49 / $247.83 / $266.06	Professional		$215.49	$247.83	$266.06
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 $105.90 / $163.19 / $537.39	Professional		$105.90	$163.19	$537.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $227.21 / $404.19 / $500.77	Professional	50	$227.21	$404.19	$500.77
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 $109.63 / $228.08 / $465.83	Professional		$109.63	$228.08	$465.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.64 / $310.29 / $555.00	Facility		$227.64	$310.29	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $274.72 / $591.05	Professional		$112.15	$274.72	$591.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $183.85 / $431.88	Professional		$124.72	$183.85	$431.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $282.12 / $539.85	Professional		$119.03	$282.12	$539.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $799.26 / $818.34	Facility		$55.00	$799.26	$818.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.40 / $2,056.15 / $2,313.67	Professional		$1,024.40	$2,056.15	$2,313.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $208.01 / $436.60	Facility		$82.64	$208.01	$436.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $287.64 / $677.89	Professional		$116.94	$287.64	$677.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $381.17 / $381.17 / $938.96	Professional		$381.17	$381.17	$938.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $174.61 / $327.45	Professional		$123.28	$174.61	$327.45
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $5,830.00	Facility		$421.00	$1,495.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $271.81 / $606.96	Professional		$211.34	$271.81	$606.96