Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,897.79 / $15,848.93	Facility		$323.59	$4,897.79	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $50.12 / $213.80	Professional		$16.98	$50.12	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $144.54	Professional		$38.90	$64.57	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $102.33	Facility		$17.78	$22.91	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $42.66 / $114.82	Professional		$19.95	$42.66	$114.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $25.12 / $83.18 / $141.25	Professional	50	$25.12	$83.18	$141.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $1,778.28	Facility		$66.07	$141.25	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $85.11	Professional		$23.99	$42.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $44.67 / $117.49	Professional		$17.38	$44.67	$117.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $109.65	Professional		$14.79	$19.95	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $67.61 / $141.25	Professional		$13.49	$67.61	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $588.84	Professional		$501.19	$588.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $97.72	Professional		$58.88	$58.88	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $37.15 / $97.72	Facility		$14.45	$37.15	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $44.67 / $120.23	Professional		$17.38	$44.67	$120.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $208.93	Professional		$51.29	$51.29	$208.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $27.54 / $79.43	Professional		$13.49	$27.54	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $39.81 / $87.10	Professional		$13.80	$39.81	$87.10