Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $7,146.30 / $20,135.00	Facility		$99.75	$7,146.30	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $90.44 / $275.75	Professional		$41.62	$90.44	$275.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $93.61 / $93.61	Professional		$93.61	$93.61	$93.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $71.47 / $181.05	Professional		$44.81	$71.47	$181.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $103.01 / $199.77	Professional		$50.78	$103.01	$199.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $93.68 / $220.71	Facility		$79.27	$93.68	$220.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $107.30 / $286.20	Professional		$50.22	$107.30	$286.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $57.37 / $130.57	Professional		$40.21	$57.37	$130.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $97.46 / $176.82	Professional		$46.94	$97.46	$176.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $315.36 / $324.00	Facility		$55.00	$315.36	$324.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $682.48 / $790.20	Professional		$514.00	$682.48	$790.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $90.68 / $155.94	Facility		$50.82	$90.68	$155.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $111.45 / $264.26	Professional		$51.15	$111.45	$264.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $155.63 / $326.33	Professional		$155.63	$155.63	$326.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $57.92 / $131.96	Professional		$40.21	$57.92	$131.96
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $6,323.00	Facility		$421.00	$1,495.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $114.39 / $311.74	Professional		$78.12	$114.39	$311.74