Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $9,772.37 / $19,952.62	Facility		$630.96	$9,772.37	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $107.15 / $512.86	Professional		$48.98	$107.15	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $134.90	Professional		$93.33	$112.20	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $229.09	Professional		$53.70	$97.72	$229.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $147.91 / $239.88	Professional	50	$83.18	$147.91	$239.88
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 $56.23 / $109.65 / $208.93	Professional		$56.23	$109.65	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $218.78	Professional		$52.48	$95.50	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $177.83	Professional		$35.48	$51.29	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $114.82 / $234.42	Professional		$40.74	$114.82	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,584.89	Facility		$54.95	$56.23	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,000.00	Professional		$870.96	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $169.82	Professional		$102.33	$102.33	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $177.83	Facility		$43.65	$87.10	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $229.09	Professional		$52.48	$95.50	$229.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $407.38	Professional		$165.96	$165.96	$407.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $131.83	Professional		$36.31	$50.12	$131.83
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 $43.65 / $87.10 / $177.83	Professional		$43.65	$87.10	$177.83