Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.90 / $4,704.00 / $16,109.00	Facility		$235.90	$4,704.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $133.97 / $309.08	Professional		$36.65	$133.97	$309.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $44.19 / $62.05	Professional		$37.97	$44.19	$62.05
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 $52.28 / $78.44 / $320.67	Professional		$52.28	$78.44	$320.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.28 / $78.42 / $282.04	Professional	50	$48.28	$78.42	$282.04
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 $42.13 / $111.55 / $277.44	Professional		$42.13	$111.55	$277.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $152.72 / $335.98	Professional		$44.23	$152.72	$335.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $130.68 / $303.74	Professional		$43.68	$130.68	$303.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $152.54 / $300.00	Professional		$39.65	$152.54	$300.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $186.00 / $194.42	Facility		$55.00	$186.00	$194.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $652.76 / $1,232.96 / $1,449.83	Professional		$652.76	$1,232.96	$1,449.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.69	Professional		$32.34	$32.34	$149.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $104.22 / $284.27	Facility		$40.17	$104.22	$284.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $154.79 / $421.12	Professional		$45.43	$154.79	$421.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $132.99 / $529.70	Professional		$132.99	$132.99	$529.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $181.94 / $250.16	Professional		$35.26	$181.94	$250.16
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 $127.55 / $185.63 / $480.68	Professional		$127.55	$185.63	$480.68