Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $35.71 / $240.00	Facility		$22.21	$35.71	$240.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $743.98 / $743.98 / $743.98	Facility	50	$743.98	$743.98	$743.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.42 / $61.74	Professional		$17.78	$30.42	$61.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.12 / $62.62 / $226.50	Professional	50	$16.12	$62.62	$226.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $25.86 / $47.84	Professional		$22.50	$25.86	$47.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.50 / $36.50 / $36.50	Professional	50	$36.50	$36.50	$36.50
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 $25.72 / $41.18 / $79.15	Professional		$25.72	$41.18	$79.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.67 / $33.67 / $50.59	Professional	50	$26.67	$33.67	$50.59
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 $30.20 / $40.07 / $89.89	Professional		$30.20	$40.07	$89.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $27.37 / $56.00	Facility		$27.32	$27.37	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $37.53 / $79.87	Professional		$20.37	$37.53	$79.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $21.00 / $37.28	Professional		$17.50	$21.00	$37.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $29.91 / $53.24	Professional		$17.19	$29.91	$53.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $78.72 / $83.98	Facility		$55.00	$78.72	$83.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $210.88 / $234.45	Professional		$129.00	$210.88	$234.45
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 $20.63 / $34.63 / $50.18	Facility		$20.63	$34.63	$50.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $38.51 / $76.18	Professional		$20.53	$38.51	$76.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $57.68 / $93.75	Professional		$57.68	$57.68	$93.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $24.50 / $37.65	Professional		$17.04	$24.50	$37.65
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 $21.87 / $35.54 / $65.42	Professional		$21.87	$35.54	$65.42