Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $460.50 / $1,856.00	Facility		$73.48	$460.50	$1,856.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $79.73 / $310.00	Professional		$45.13	$79.73	$310.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $183.83 / $435.55 / $526.91	Professional	50	$183.83	$435.55	$526.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $77.65 / $151.11	Professional		$64.26	$77.65	$151.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.96 / $91.96 / $91.96	Professional	50	$91.96	$91.96	$91.96
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 $49.54 / $67.91 / $140.41	Professional		$49.54	$67.91	$140.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.20 / $94.01 / $110.61	Professional	50	$70.20	$94.01	$110.61
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 $48.04 / $68.63 / $134.80	Professional		$48.04	$68.63	$134.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $89.57 / $160.43	Facility		$56.00	$89.57	$160.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $78.54 / $141.57	Professional		$52.28	$78.54	$141.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $67.91 / $107.04	Professional		$56.59	$67.91	$107.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $81.44 / $143.05	Professional		$51.09	$81.44	$143.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $233.92 / $252.51	Facility		$55.00	$233.92	$252.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.84 / $540.40 / $635.70	Professional		$363.84	$540.40	$635.70
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 $51.09 / $75.97 / $115.42	Facility		$51.09	$75.97	$115.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $83.35 / $164.72	Professional		$53.16	$83.35	$164.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $160.93 / $231.86	Professional		$160.93	$160.93	$231.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $74.44 / $102.36	Professional		$51.86	$74.44	$102.36
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 $55.18 / $72.36 / $159.18	Professional		$55.18	$72.36	$159.18