Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.50 / $2,704.00 / $13,916.00	Facility		$190.50	$2,704.00	$13,916.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $330.92 / $848.65 / $4,046.33	Facility	50	$330.92	$848.65	$4,046.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $110.76 / $387.00	Professional		$57.68	$110.76	$387.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.15 / $232.43 / $672.00	Professional	50	$126.15	$232.43	$672.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $101.51 / $510.25	Professional		$85.66	$101.51	$510.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.50 / $150.77 / $342.60	Professional	50	$128.50	$150.77	$342.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $6,706.00 / $13,707.00	Facility		$2,402.00	$6,706.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $114.22 / $224.57	Professional		$72.25	$114.22	$224.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $90.07 / $139.94 / $185.41	Professional	50	$90.07	$139.94	$185.41
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 $62.85 / $95.05 / $178.68	Professional		$62.85	$95.05	$178.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $109.27 / $195.70	Facility		$56.00	$109.27	$195.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $104.31 / $197.72	Professional		$65.79	$104.31	$197.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $70.86 / $131.96	Professional		$52.87	$70.86	$131.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $102.58 / $187.39	Professional		$58.73	$102.58	$187.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $267.93 / $286.62	Facility		$55.00	$267.93	$286.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.40 / $492.75 / $835.05	Professional		$426.40	$492.75	$835.05
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 $68.41 / $100.78 / $156.91	Facility		$68.41	$100.78	$156.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $111.17 / $234.55	Professional		$67.23	$111.17	$234.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $195.23 / $195.23 / $309.43	Professional		$195.23	$195.23	$309.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $74.01 / $133.27	Professional		$52.87	$74.01	$133.27
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $101.32 / $210.87	Professional		$74.39	$101.32	$210.87