Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.42 / $2,163.00 / $13,171.00	Facility		$330.42	$2,163.00	$13,171.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $677.30 / $904.33 / $1,736.91	Facility	50	$677.30	$904.33	$1,736.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $77.22 / $294.89	Professional		$38.40	$77.22	$294.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $109.79 / $388.50	Professional	50	$73.20	$109.79	$388.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $59.30 / $106.03	Professional		$46.70	$59.30	$106.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $71.16 / $79.39 / $149.35	Professional	50	$71.16	$79.39	$149.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $72.08 / $131.57	Professional		$48.30	$72.08	$131.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.79 / $76.54 / $116.31	Professional	50	$56.79	$76.54	$116.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $62.44 / $117.38	Professional		$40.61	$62.44	$117.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $57.27 / $1,487.00	Facility		$57.17	$57.27	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $62.91 / $121.71	Professional		$42.30	$62.91	$121.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $52.66 / $82.97	Professional		$42.52	$52.66	$82.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $62.23 / $108.97	Professional		$38.79	$62.23	$108.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $177.14 / $189.38	Facility		$55.00	$177.14	$189.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $488.55 / $632.14	Professional		$282.95	$488.55	$632.14
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 $39.39 / $59.30 / $93.17	Facility		$39.39	$59.30	$93.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $68.02 / $136.91	Professional		$42.73	$68.02	$136.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $127.08 / $178.77	Professional		$127.08	$127.08	$178.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $59.53 / $82.43	Professional		$38.61	$59.53	$82.43
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $57.75 / $120.06	Professional		$43.68	$57.75	$120.06