Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.25 / $2,163.00 / $13,290.00	Facility		$224.25	$2,163.00	$13,290.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,170.00 / $3,544.50 / $4,009.50	Facility	50	$1,170.00	$3,544.50	$4,009.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $59.76 / $235.00	Professional		$33.60	$59.76	$235.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $56.25 / $110.64	Professional		$45.00	$56.25	$110.64
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 $43.55 / $65.92 / $120.35	Professional		$43.55	$65.92	$120.35
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 $35.07 / $58.34 / $108.73	Professional		$35.07	$58.34	$108.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.36 / $53.45 / $1,487.00	Facility		$53.36	$53.45	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $59.69 / $111.88	Professional		$38.72	$59.69	$111.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $52.49 / $78.48	Professional		$40.76	$52.49	$78.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $56.25 / $105.19	Professional		$36.39	$56.25	$105.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.02 / $179.12 / $2,500.00	Facility		$165.02	$179.12	$2,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $564.28 / $632.14	Professional		$295.00	$564.28	$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 $42.34 / $58.97 / $84.20	Facility		$42.34	$58.97	$84.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.15 / $131.24	Professional		$38.90	$64.15	$131.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $125.12 / $182.83	Professional		$125.12	$125.12	$182.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $52.49 / $78.73	Professional		$36.93	$52.49	$78.73
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $55.65 / $125.05	Professional		$42.93	$55.65	$125.05