Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,548.13 / $15,135.61	Facility		$346.74	$3,548.13	$15,135.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $125.89 / $239.88 / $1,348.96	Facility	50	$125.89	$239.88	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $69.18 / $204.17	Professional		$35.48	$69.18	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $107.15 / $331.13	Professional	50	$69.18	$107.15	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $87.10	Professional		$30.90	$53.70	$87.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $85.11 / $138.04	Professional	50	$34.67	$85.11	$138.04
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 $50.12 / $74.13 / $134.90	Professional		$50.12	$74.13	$134.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $74.13 / $109.65	Professional	50	$53.70	$74.13	$109.65
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 $41.69 / $64.57 / $125.89	Professional		$41.69	$64.57	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $104.71	Professional		$38.90	$57.54	$104.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $83.18	Professional		$32.36	$40.74	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $107.15	Professional		$32.36	$58.88	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,318.26	Facility		$54.95	$56.23	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $446.68	Professional		$389.05	$446.68	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $75.86	Professional		$45.71	$45.71	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $57.54 / $93.33	Facility		$36.31	$57.54	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $112.20	Professional		$38.90	$60.26	$112.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $165.96	Professional		$117.49	$117.49	$165.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $69.18	Professional		$31.62	$45.71	$69.18
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 $30.90 / $47.86 / $91.20	Professional		$30.90	$47.86	$91.20