Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $109.54 / $518.00	Facility		$67.58	$109.54	$518.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $87.42 / $344.02	Professional		$59.35	$87.42	$344.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $123.48 / $500.97	Professional	50	$118.88	$123.48	$500.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $87.27 / $187.08	Professional		$63.61	$87.27	$187.08
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 $68.34 / $96.72 / $193.59	Professional		$68.34	$96.72	$193.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.06 / $100.50 / $120.82	Professional	50	$80.06	$100.50	$120.82
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 $69.53 / $96.81 / $194.02	Professional		$69.53	$96.81	$194.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $91.48 / $163.84	Facility		$56.00	$91.48	$163.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $93.86 / $191.57	Professional		$63.50	$93.86	$191.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $83.77 / $125.66	Professional		$64.02	$83.77	$125.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $86.12 / $148.41	Professional		$55.64	$86.12	$148.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $254.92 / $276.26	Facility		$55.00	$254.92	$276.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $563.12 / $654.23	Professional		$450.00	$563.12	$654.23
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 $65.90 / $94.75 / $130.13	Facility		$65.90	$94.75	$130.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $101.24 / $192.76	Professional		$65.55	$101.24	$192.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.01 / $181.01 / $250.74	Professional		$181.01	$181.01	$250.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $87.12 / $150.78	Professional		$58.18	$87.12	$150.78
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $86.26 / $168.62	Professional		$60.75	$86.26	$168.62