Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $3,715.35 / $15,135.61	Facility		$54.95	$3,715.35	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $37.15 / $575.44	Professional		$15.85	$37.15	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $40.74	Professional		$21.88	$24.55	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $93.33	Professional		$17.38	$34.67	$93.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.88 / $56.23 / $79.43	Professional	50	$33.88	$56.23	$79.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $295.12 / $741.31	Facility		$97.72	$295.12	$741.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $37.15 / $75.86	Professional		$20.42	$37.15	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $75.86	Professional		$22.39	$38.90	$75.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.92 / $58.88	Professional		$14.45	$26.92	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $41.69 / $79.43	Professional		$21.38	$41.69	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $199.53	Facility		$54.95	$56.23	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $331.13	Professional		$288.40	$331.13	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $56.23	Professional		$33.88	$33.88	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $35.48 / $61.66	Facility		$21.38	$35.48	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $75.86	Professional		$22.39	$38.90	$75.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $134.90	Professional		$85.11	$85.11	$134.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $44.67	Professional		$18.20	$24.55	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $69.18	Professional		$20.89	$33.88	$69.18