Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.21 / $4,848.00 / $16,109.00	Facility		$219.21	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $196.21 / $378.68	Professional		$121.34	$196.21	$378.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $209.18	Professional		$65.20	$65.20	$209.18
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 $132.40 / $200.04 / $412.72	Professional		$132.40	$200.04	$412.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $256.35 / $315.24 / $371.34	Professional	50	$256.35	$315.24	$371.34
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 $129.62 / $211.92 / $405.25	Professional		$129.62	$211.92	$405.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.41 / $282.70 / $555.00	Facility		$207.41	$282.70	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $227.66 / $552.50	Professional		$135.88	$227.66	$552.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $204.53 / $324.66	Professional		$154.50	$204.53	$324.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $221.14 / $413.70	Professional		$133.81	$221.14	$413.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $901.68 / $920.82	Facility		$55.00	$901.68	$920.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $957.04 / $1,789.58 / $2,357.73	Professional		$957.04	$1,789.58	$2,357.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $229.65 / $378.24	Facility		$140.25	$229.65	$378.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.31 / $248.52 / $565.82	Professional		$137.31	$248.52	$565.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $434.85 / $434.85 / $719.76	Professional		$434.85	$434.85	$719.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $231.10 / $300.77	Professional		$142.90	$231.10	$300.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,125.00 / $4,030.00 / $9,682.00	Facility		$2,125.00	$4,030.00	$9,682.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.24 / $214.54 / $495.75	Professional		$165.24	$214.54	$495.75