Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.08 / $4,436.00 / $15,795.00	Facility		$407.08	$4,436.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $119.38 / $342.08	Professional		$90.40	$119.38	$342.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $119.15 / $165.17	Professional		$104.31	$119.15	$165.17
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 $98.34 / $144.88 / $292.89	Professional		$98.34	$144.88	$292.89
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 $92.22 / $125.76 / $272.43	Professional		$92.22	$125.76	$272.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.61 / $146.68 / $555.00	Facility		$107.61	$146.68	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $145.38 / $295.45	Professional		$99.39	$145.38	$295.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $154.58 / $206.38	Professional		$121.58	$154.58	$206.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $142.88 / $247.67	Professional		$102.51	$142.88	$247.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $700.80 / $9,102.00 / $11,500.00	Facility		$700.80	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $744.96 / $938.24 / $1,074.45	Professional		$744.96	$938.24	$1,074.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.61 / $147.38 / $216.93	Facility		$107.61	$147.38	$216.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $153.22 / $318.24	Professional		$101.93	$153.22	$318.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $336.64 / $336.64 / $424.39	Professional		$336.64	$336.64	$424.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $154.58 / $231.87	Professional		$107.03	$154.58	$231.87
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 $98.28 / $128.10 / $290.33	Professional		$98.28	$128.10	$290.33