Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $4,381.79 / $13,916.00	Facility		$295.70	$4,381.79	$13,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $146.94 / $456.95	Professional		$46.48	$146.94	$456.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.16 / $88.16 / $88.16	Professional	50	$88.16	$88.16	$88.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $139.80 / $221.45	Professional		$46.84	$139.80	$221.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $87.03 / $284.47	Professional		$62.29	$87.03	$284.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.16 / $107.77 / $182.04	Professional	50	$74.16	$107.77	$182.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $117.49 / $260.45	Professional		$48.90	$117.49	$260.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $154.68 / $351.37	Professional		$53.55	$154.68	$351.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $172.37 / $273.77	Professional		$54.07	$172.37	$273.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $139.12 / $268.89	Professional		$48.66	$139.12	$268.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $367.00 / $367.00	Facility		$55.00	$367.00	$367.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $589.45 / $1,475.09 / $1,845.61	Professional		$589.45	$1,475.09	$1,845.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.27	Professional		$32.34	$32.34	$133.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $120.96 / $276.95	Facility		$50.03	$120.96	$276.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $156.24 / $407.16	Professional		$56.46	$156.24	$407.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $166.69 / $512.91	Professional		$166.69	$166.69	$512.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $184.47 / $304.33	Professional		$49.12	$184.47	$304.33
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $178.35 / $429.35	Professional		$121.80	$178.35	$429.35