Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.83 / $2,903.00 / $14,699.00	Facility		$76.83	$2,903.00	$14,699.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $220.32 / $848.66 / $946.70	Facility	50	$220.32	$848.66	$946.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $63.64 / $201.00	Professional		$35.36	$63.64	$201.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.09 / $106.07 / $333.00	Professional	50	$71.09	$106.07	$333.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $56.43 / $92.87	Professional		$39.18	$56.43	$92.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.34 / $78.33 / $139.31	Professional	50	$74.34	$78.33	$139.31
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 $46.37 / $68.44 / $124.73	Professional		$46.37	$68.44	$124.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.76 / $74.79 / $106.96	Professional	50	$56.76	$74.79	$106.96
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 $40.59 / $56.29 / $112.20	Professional		$40.59	$56.29	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $55.99 / $1,487.00	Facility		$55.89	$55.99	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $57.37 / $106.32	Professional		$39.08	$57.37	$106.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $41.90 / $71.25	Professional		$32.39	$41.90	$71.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $57.82 / $101.54	Professional		$35.61	$57.82	$101.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $161.97 / $174.71	Facility		$55.00	$161.97	$174.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $390.80 / $451.58	Professional		$263.00	$390.80	$451.58
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 $38.40 / $55.32 / $86.23	Facility		$38.40	$55.32	$86.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $61.28 / $125.23	Professional		$39.99	$61.28	$125.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $116.71 / $164.79	Professional		$116.71	$116.71	$164.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $45.35 / $71.95	Professional		$32.39	$45.35	$71.95
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $5,830.00	Facility		$510.00	$1,506.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $53.54 / $112.41	Professional		$39.08	$53.54	$112.41