Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.30 / $6,211.00 / $18,252.00	Facility		$116.30	$6,211.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $169.24 / $461.31	Professional		$64.29	$169.24	$461.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.13 / $443.13 / $443.13	Professional		$443.13	$443.13	$443.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $68.78 / $181.13	Facility		$56.88	$68.78	$181.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $158.02 / $317.58	Professional		$64.02	$158.02	$317.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $234.84 / $1,048.84	Facility		$59.40	$234.84	$1,048.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $166.82 / $329.94	Professional		$71.13	$166.82	$329.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $107.24 / $107.24	Facility		$107.24	$107.24	$107.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $172.91 / $396.37	Professional		$71.34	$172.91	$396.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $114.92 / $350.07	Professional		$75.70	$114.92	$350.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $176.67 / $349.61	Professional		$66.43	$176.67	$349.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.26 / $363.26 / $363.26	Facility		$363.26	$363.26	$363.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $1,237.14 / $1,666.43	Professional		$736.38	$1,237.14	$1,666.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $163.38	Professional		$32.34	$32.34	$163.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $153.21 / $314.60	Facility		$68.48	$153.21	$314.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $181.45 / $493.92	Professional		$72.80	$181.45	$493.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $223.60 / $670.80	Professional		$223.60	$223.60	$670.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $160.88 / $288.39	Professional		$61.20	$160.88	$288.39
United Facility/Professional Facility Modifier Low / Median / High Price $228.17 / $228.17 / $228.17	Facility		$228.17	$228.17	$228.17
United Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $205.01 / $573.02	Professional		$147.41	$205.01	$573.02