Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $7,108.00 / $18,252.00	Facility		$64.34	$7,108.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $64.34 / $242.00	Professional		$29.94	$64.34	$242.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $83.45 / $109.08	Professional		$77.70	$83.45	$109.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $61.36 / $140.77	Professional		$30.87	$61.36	$140.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $52.93 / $110.43 / $166.63	Professional	50	$52.93	$110.43	$166.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,596.84	Facility		$65.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $59.38 / $119.57	Professional		$37.47	$59.38	$119.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $73.02 / $199.14	Professional		$36.97	$73.02	$199.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $46.56 / $158.19	Professional		$25.69	$46.56	$158.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $96.80 / $198.68	Professional		$36.81	$96.80	$198.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $170.93 / $180.31	Facility		$55.00	$170.93	$180.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $386.19 / $748.96 / $864.45	Professional		$386.19	$748.96	$864.45
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 $36.81 / $62.63 / $147.55	Facility		$36.81	$62.63	$147.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $76.56 / $203.81	Professional		$37.57	$76.56	$203.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $350.98	Professional		$127.38	$127.38	$350.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $42.11 / $119.93	Professional		$28.77	$42.11	$119.93
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $97.12 / $242.13	Professional		$63.24	$97.12	$242.13