Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.28 / $2,051.00 / $13,782.00	Facility		$117.28	$2,051.00	$13,782.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $118.91 / $415.40	Professional		$59.40	$118.91	$415.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.05 / $47.42 / $178.61	Professional	52	$30.05	$47.42	$178.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $121.57 / $265.57	Professional		$106.23	$121.57	$265.57
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $53.93 / $53.93 / $56.06	Professional	52	$53.93	$53.93	$56.06
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 $60.88 / $100.32 / $223.94	Professional		$60.88	$100.32	$223.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.30 / $133.00 / $174.93	Professional	50	$98.30	$133.00	$174.93
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 $68.84 / $108.98 / $195.28	Professional		$68.84	$108.98	$195.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $112.88 / $231.18	Professional		$66.44	$112.88	$231.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $116.84 / $176.00	Professional		$86.55	$116.84	$176.00
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $232.67 / $232.67 / $232.67	Professional		$232.67	$232.67	$232.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $125.52 / $222.06	Professional		$71.70	$125.52	$222.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $324.92 / $362.43	Facility		$55.00	$324.92	$362.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $506.00 / $581.17 / $951.75	Professional		$506.00	$581.17	$951.75
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 $60.28 / $99.17 / $171.43	Facility		$60.28	$99.17	$171.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $118.35 / $233.08	Professional		$68.92	$118.35	$233.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $221.65 / $373.12	Professional		$221.65	$221.65	$373.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $125.83 / $179.60	Professional		$78.70	$125.83	$179.60
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $110.84 / $275.99	Professional		$82.42	$110.84	$275.99