Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,897.79 / $15,848.93	Facility		$489.78	$4,897.79	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $1,778.28 / $10,000.00	Facility	50	$741.31	$1,778.28	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $346.74	Professional		$52.48	$95.50	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $204.17 / $575.44	Professional	50	$109.65	$204.17	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $213.80	Professional		$63.10	$77.62	$213.80
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 $72.44 / $102.33 / $199.53	Professional		$72.44	$102.33	$199.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $112.20 / $177.83	Professional	50	$83.18	$112.20	$177.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $389.05 / $1,778.28	Facility		$66.07	$389.05	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $186.21	Professional		$61.66	$95.50	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $162.18	Professional		$60.26	$87.10	$162.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $131.83	Professional		$52.48	$64.57	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $169.82	Professional		$50.12	$91.20	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $707.95	Professional		$630.96	$707.95	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $117.49	Professional		$70.79	$70.79	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $87.10 / $144.54	Facility		$56.23	$87.10	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $173.78	Professional		$60.26	$91.20	$173.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $257.04	Professional		$186.21	$186.21	$257.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $112.20	Professional		$50.12	$74.13	$112.20
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 $48.98 / $70.79 / $141.25	Professional		$48.98	$70.79	$141.25