Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,008.00	Facility		$344.00	$4,932.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $180.08 / $367.54	Professional		$144.83	$180.08	$367.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.50 / $231.50 / $231.50	Professional		$231.50	$231.50	$231.50
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 $153.91 / $231.36 / $460.60	Professional		$153.91	$231.36	$460.60
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 $139.04 / $198.63 / $435.31	Professional		$139.04	$198.63	$435.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $228.17 / $555.00	Facility		$167.40	$228.17	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.40 / $230.08 / $514.61	Professional		$158.40	$230.08	$514.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $227.85 / $299.29	Professional		$151.90	$227.85	$299.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.74 / $225.39 / $395.60	Professional		$162.74	$225.39	$395.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,111.92 / $1,143.72	Facility		$55.00	$1,111.92	$1,143.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.76 / $1,684.43 / $2,399.48	Professional		$1,183.76	$1,684.43	$2,399.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.95 / $247.48 / $376.99	Facility		$172.95	$247.48	$376.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.56 / $247.95 / $533.71	Professional		$161.56	$247.95	$533.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $536.30 / $536.30 / $667.35	Professional		$536.30	$536.30	$667.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $214.43 / $277.24	Professional		$155.94	$214.43	$277.24
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,481.00 / $5,830.00	Facility		$421.00	$1,481.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $205.92 / $512.20	Professional		$157.34	$205.92	$512.20