Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,388.44 / $13,182.57	Facility		$309.03	$3,388.44	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $501.19 / $1,548.82 / $4,570.88	Facility	50	$501.19	$1,548.82	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $72.44 / $263.03	Professional		$37.15	$72.44	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $114.82 / $407.38	Professional	50	$81.28	$114.82	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $109.65	Professional		$44.67	$56.23	$109.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $83.18 / $97.72	Professional	50	$70.79	$83.18	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $144.54	Professional		$51.29	$77.62	$144.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $77.62 / $144.54	Professional	50	$56.23	$77.62	$144.54
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 $42.66 / $70.79 / $134.90	Professional		$42.66	$70.79	$134.90
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 $40.74 / $61.66 / $109.65	Professional		$40.74	$61.66	$109.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $85.11	Professional		$35.48	$44.67	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.26 / $109.65	Professional		$33.11	$60.26	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $15,135.61 / $15,135.61	Facility		$2,187.76	$15,135.61	$15,135.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $398.11 / $457.09	Professional		$60.26	$398.11	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $77.62	Professional		$46.77	$46.77	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.88 / $97.72	Facility		$38.02	$58.88	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $123.03	Professional		$40.74	$63.10	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $169.82	Professional		$120.23	$120.23	$169.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $79.43	Professional		$32.36	$53.70	$79.43
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 $32.36 / $50.12 / $95.50	Professional		$32.36	$50.12	$95.50