Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.66 / $3,989.00 / $16,008.00	Facility		$208.66	$3,989.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $62.40 / $268.00	Professional		$38.61	$62.40	$268.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $75.77 / $109.95	Professional	50	$73.20	$75.77	$109.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $53.45 / $78.65	Professional		$49.37	$53.45	$78.65
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 $50.19 / $72.62 / $128.91	Professional		$50.19	$72.62	$128.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $59.70 / $75.93 / $115.17	Professional	50	$59.70	$75.93	$115.17
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 $43.07 / $61.19 / $120.32	Professional		$43.07	$61.19	$120.32
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 $43.65 / $64.55 / $121.71	Professional		$43.65	$64.55	$121.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $52.49 / $82.63	Professional		$42.23	$52.49	$82.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $61.67 / $108.19	Professional		$38.22	$61.67	$108.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $174.10 / $187.25	Facility		$55.00	$174.10	$187.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $280.48 / $418.88 / $480.53	Professional		$280.48	$418.88	$480.53
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 $44.33 / $59.39 / $91.02	Facility		$44.33	$59.39	$91.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $68.94 / $138.69	Professional		$44.30	$68.94	$138.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $183.58	Professional		$129.47	$129.47	$183.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $55.64 / $78.73	Professional		$38.36	$55.64	$78.73
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,506.00 / $5,830.00	Facility		$545.00	$1,506.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $58.15 / $125.07	Professional		$44.80	$58.15	$125.07