Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $428.40 / $1,856.00	Facility		$71.23	$428.40	$1,856.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $333.08 / $333.08 / $2,231.00	Facility	50	$333.08	$333.08	$2,231.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $76.38 / $293.39	Professional		$39.52	$76.38	$293.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.57 / $114.57 / $238.41	Professional	50	$114.57	$114.57	$238.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $76.56 / $122.94	Professional		$42.85	$76.56	$122.94
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 $42.51 / $59.89 / $125.11	Professional		$42.51	$59.89	$125.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.10 / $80.55 / $102.69	Professional	50	$57.10	$80.55	$102.69
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 $40.56 / $68.66 / $128.05	Professional		$40.56	$68.66	$128.05
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 $42.73 / $70.73 / $130.63	Professional		$42.73	$70.73	$130.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $60.80 / $100.01	Professional		$48.58	$60.80	$100.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $75.30 / $132.75	Professional		$43.15	$75.30	$132.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $189.92 / $207.77	Facility		$55.00	$189.92	$207.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $294.48 / $497.28 / $585.60	Professional		$294.48	$497.28	$585.60
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 $42.00 / $65.58 / $109.08	Facility		$42.00	$65.58	$109.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $75.84 / $143.22	Professional		$44.17	$75.84	$143.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $128.33 / $128.33 / $211.28	Professional		$128.33	$128.33	$211.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $70.80 / $97.35	Professional		$42.68	$70.80	$97.35
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 $50.96 / $66.55 / $146.59	Professional		$50.96	$66.55	$146.59