Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.33 / $4,420.00 / $15,522.00	Facility		$365.33	$4,420.00	$15,522.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,207.00 / $10,207.00 / $15,310.50	Facility	50	$10,207.00	$10,207.00	$15,310.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $187.43 / $790.58	Professional		$63.60	$187.43	$790.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.68 / $606.12 / $1,151.32	Professional	50	$166.68	$606.12	$1,151.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $186.90 / $317.52	Professional		$66.27	$186.90	$317.52
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 $83.61 / $117.69 / $348.91	Professional		$83.61	$117.69	$348.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $147.84 / $259.89	Professional	50	$102.33	$147.84	$259.89
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 $65.81 / $156.83 / $326.23	Professional		$65.81	$156.83	$326.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $186.58 / $439.72	Professional		$72.92	$186.58	$439.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $201.41 / $389.57	Professional		$74.22	$201.41	$389.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $197.63 / $389.45	Professional		$66.80	$197.63	$389.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $664.40 / $954.09	Facility		$55.00	$664.40	$954.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.09 / $1,882.43 / $3,336.50	Professional		$954.09	$1,882.43	$3,336.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $189.32	Professional		$32.34	$32.34	$189.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $183.27 / $461.75	Facility		$68.48	$183.27	$461.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $194.74 / $562.03	Professional		$73.76	$194.74	$562.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $226.68 / $226.68 / $733.99	Professional		$226.68	$226.68	$733.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $254.00 / $362.55	Professional		$67.40	$254.00	$362.55
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.42 / $242.58 / $651.99	Professional		$169.42	$242.58	$651.99