Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $2,752.00 / $14,472.00	Facility		$80.31	$2,752.00	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $86.31 / $293.52	Professional		$32.59	$86.31	$293.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $44.56 / $44.56	Professional		$44.56	$44.56	$44.56
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 $33.29 / $67.88 / $147.94	Professional		$33.29	$67.88	$147.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $52.30 / $101.34 / $139.11	Professional	50	$52.30	$101.34	$139.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $63.97 / $123.67	Professional		$33.28	$63.97	$123.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $76.34 / $171.52	Professional		$36.90	$76.34	$171.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $50.96 / $130.84	Professional		$20.10	$50.96	$130.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $88.07 / $163.54	Professional		$38.22	$88.07	$163.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $176.16 / $190.19	Facility		$55.00	$176.16	$190.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.19 / $608.16 / $714.53	Professional		$319.19	$608.16	$714.53
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 $34.03 / $63.98 / $127.16	Facility		$34.03	$63.98	$127.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $79.27 / $174.78	Professional		$37.22	$79.27	$174.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $121.12 / $283.41	Professional		$121.12	$121.12	$283.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $39.11 / $121.20	Professional		$26.14	$39.11	$121.20
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 $62.16 / $82.28 / $209.66	Professional		$62.16	$82.28	$209.66