Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $4,848.00 / $16,109.00	Facility		$154.63	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $144.31 / $316.89	Professional		$117.37	$144.31	$316.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $160.47 / $166.61	Professional		$160.47	$160.47	$166.61
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 $125.08 / $188.03 / $376.63	Professional		$125.08	$188.03	$376.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $160.82 / $352.51	Professional		$112.57	$160.82	$352.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $176.14 / $555.00	Facility		$129.22	$176.14	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $186.72 / $436.25	Professional		$127.44	$186.72	$436.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $185.33 / $258.05	Professional		$136.88	$185.33	$258.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $181.22 / $317.64	Professional		$130.94	$181.22	$317.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $897.84 / $9,102.00 / $11,500.00	Facility		$897.84	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $955.76 / $1,352.63 / $2,278.08	Professional		$955.76	$1,352.63	$2,278.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.07 / $203.85 / $324.35	Facility		$140.07	$203.85	$324.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $198.92 / $438.85	Professional		$130.94	$198.92	$438.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $432.80 / $432.80 / $537.38	Professional		$432.80	$432.80	$537.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.56 / $180.51 / $256.66	Professional		$136.56	$180.51	$256.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $165.96 / $406.38	Professional		$126.81	$165.96	$406.38