Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $4,399.50 / $16,125.00	Facility		$264.33	$4,399.50	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $68.48 / $276.49	Professional		$42.71	$68.48	$276.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.29 / $144.41 / $347.96	Professional	50	$99.29	$144.41	$347.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $71.18 / $85.71	Professional		$36.09	$71.18	$85.71
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $115.03 / $115.03 / $115.03	Professional	50	$115.03	$115.03	$115.03
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 $54.21 / $89.96 / $175.75	Professional		$54.21	$89.96	$175.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.14 / $113.56 / $151.26	Professional	50	$68.14	$113.56	$151.26
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 $47.20 / $75.52 / $140.94	Professional		$47.20	$75.52	$140.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $94.66 / $169.54	Facility		$56.00	$94.66	$169.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $82.38 / $158.36	Professional		$49.88	$82.38	$158.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $55.54 / $111.58	Professional		$39.46	$55.54	$111.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $85.71 / $155.88	Professional		$46.09	$85.71	$155.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $210.41 / $224.91	Facility		$55.00	$210.41	$224.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $600.88 / $699.60	Professional		$336.00	$600.88	$699.60
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 $53.76 / $82.27 / $129.37	Facility		$53.76	$82.27	$129.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $87.04 / $186.62	Professional		$50.58	$87.04	$186.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $149.21 / $251.40	Professional		$149.21	$149.21	$251.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $56.03 / $112.71	Professional		$40.75	$56.03	$112.71
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,323.00	Facility		$545.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $79.70 / $166.86	Professional		$59.45	$79.70	$166.86