Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,754.40 / $16,595.87	Facility		$1,202.26	$5,754.40	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $288.40	Professional		$42.66	$89.13	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $229.09 / $354.81	Professional	50	$100.00	$229.09	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $162.18	Professional		$48.98	$87.10	$162.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $128.82	Professional	50	$107.15	$107.15	$128.82
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 $57.54 / $102.33 / $204.17	Professional		$57.54	$102.33	$204.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $114.82 / $165.96	Professional	50	$70.79	$114.82	$165.96
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 $46.77 / $81.28 / $154.88	Professional		$46.77	$81.28	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $154.88	Professional		$50.12	$83.18	$154.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $131.83	Professional		$39.81	$50.12	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $89.13 / $169.82	Professional		$39.81	$89.13	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $281.84	Facility		$54.95	$56.23	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $691.83	Professional		$602.56	$691.83	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $117.49	Professional		$69.18	$69.18	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $144.54	Facility		$46.77	$85.11	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $169.82	Professional		$50.12	$85.11	$169.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $251.19	Professional		$147.91	$147.91	$251.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $95.50	Professional		$39.81	$54.95	$95.50
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 $39.81 / $67.61 / $131.83	Professional		$39.81	$67.61	$131.83