Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $3,710.42 / $14,970.00	Facility		$426.00	$3,710.42	$14,970.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $868.68 / $3,350.43 / $5,967.38	Facility	50	$868.68	$3,350.43	$5,967.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $168.57 / $506.71	Professional		$64.23	$168.57	$506.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.92 / $287.00 / $823.00	Professional	50	$99.92	$287.00	$823.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $119.17 / $119.17 / $119.17	Professional	50	$119.17	$119.17	$119.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $111.09 / $382.41	Professional		$82.68	$111.09	$382.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $115.61 / $153.52 / $235.39	Professional	50	$115.61	$153.52	$235.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,177.85	Facility		$64.40	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $134.61 / $277.70	Professional		$64.89	$134.61	$277.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Facility		$56.00	$56.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $177.10 / $391.46	Professional		$79.31	$177.10	$391.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $225.78 / $370.44	Professional		$94.18	$225.78	$370.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $169.19 / $314.00	Professional		$84.76	$169.19	$314.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $459.08 / $459.08 / $15,000.00	Facility		$459.08	$459.08	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.00 / $2,255.51 / $2,306.53	Professional		$671.00	$2,255.51	$2,306.53
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 $95.35 / $177.15 / $355.26	Facility		$95.35	$177.15	$355.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $189.76 / $409.19	Professional		$79.61	$189.76	$409.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $272.66 / $539.54	Professional		$272.66	$272.66	$539.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $186.67 / $528.74	Professional		$85.57	$186.67	$528.74
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,551.00 / $6,323.00	Facility		$570.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $181.44 / $370.84	Professional		$128.10	$181.44	$370.84