Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.09 / $1,107.08 / $1,302.45	Facility		$901.09	$1,107.08	$1,302.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $1,028.52 / $1,364.89	Professional		$31.37	$1,028.52	$1,364.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,108.07 / $1,108.07 / $1,554.91	Professional		$1,108.07	$1,108.07	$1,554.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $32.42 / $36.58	Facility		$27.94	$32.42	$36.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $1,157.50 / $2,450.75	Professional		$29.57	$1,157.50	$2,450.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,526.38 / $2,163.55 / $3,623.61	Facility		$1,526.38	$2,163.55	$3,623.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $100.00 / $2,045.47	Professional		$25.86	$100.00	$2,045.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Facility		$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.57 / $1,077.57 / $1,077.57	Professional		$1,077.57	$1,077.57	$1,077.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $60.86 / $2,230.65	Professional		$38.04	$60.86	$2,230.65
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $2,890.97 / $3,104.18 / $3,502.52	Professional		$2,890.97	$3,104.18	$3,502.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $1,150.16 / $2,272.00	Professional		$34.53	$1,150.16	$2,272.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $177.48 / $177.48	Facility		$64.45	$177.48	$177.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $222.74 / $5,042.07 / $10,233.90	Professional		$222.74	$5,042.07	$10,233.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $1,143.73 / $2,005.44	Facility		$38.39	$1,143.73	$2,005.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $1,077.57 / $2,715.49	Professional		$80.18	$1,077.57	$2,715.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $80.16 / $3,692.63	Professional		$80.16	$80.16	$3,692.63
United Facility/Professional Professional Modifier Low / Median / High Price $861.28 / $1,165.63 / $2,851.56	Professional		$861.28	$1,165.63	$2,851.56