Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.52 / $3,726.00 / $15,747.00	Facility		$304.52	$3,726.00	$15,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,631.90 / $2,631.90 / $2,631.90	Facility	50	$2,631.90	$2,631.90	$2,631.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $87.68 / $312.18	Professional		$48.89	$87.68	$312.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.71 / $201.03 / $676.13	Professional	50	$109.71	$201.03	$676.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $92.38 / $463.36	Professional		$77.79	$92.38	$463.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $99.27 / $194.90	Professional		$62.01	$99.27	$194.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.67 / $125.56 / $164.62	Professional	50	$77.67	$125.56	$164.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,638.51	Facility		$66.00	$100.00	$1,638.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $83.06 / $155.50	Professional		$53.57	$83.06	$155.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $99.72 / $178.61	Facility		$56.00	$99.72	$178.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $91.83 / $175.01	Professional		$56.92	$91.83	$175.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $62.48 / $120.04	Professional		$45.05	$62.48	$120.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $92.38 / $170.17	Professional		$51.75	$92.38	$170.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $236.15 / $252.75	Facility		$55.00	$236.15	$252.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $649.67 / $754.73	Professional		$377.68	$649.67	$754.73
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 $60.43 / $90.66 / $140.46	Facility		$60.43	$90.66	$140.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $97.01 / $206.40	Professional		$58.06	$97.01	$206.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $171.59 / $171.59 / $277.38	Professional		$171.59	$171.59	$277.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $63.07 / $121.24	Professional		$45.85	$63.07	$121.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $88.81 / $189.56	Professional		$65.83	$88.81	$189.56