Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $42.66 / $870.96	Facility		$21.88	$42.66	$870.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	50	$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $79.43	Professional		$16.22	$32.36	$79.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $67.61 / $239.88	Professional	50	$47.86	$67.61	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $27.54 / $34.67	Professional		$12.30	$27.54	$34.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $33.88 / $36.31 / $50.12	Professional	50	$33.88	$36.31	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $87.10	Professional		$29.51	$47.86	$87.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.92 / $35.48 / $72.44	Professional	50	$26.92	$35.48	$72.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $177.83 / $1,778.28	Facility		$66.07	$177.83	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $91.20	Professional		$33.88	$48.98	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $35.48 / $61.66	Professional		$19.50	$35.48	$61.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $41.69	Professional		$16.60	$19.95	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $29.51 / $52.48	Professional		$15.49	$29.51	$52.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $234.42	Professional		$213.80	$234.42	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $39.81	Professional		$23.99	$23.99	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $54.95	Facility		$18.62	$35.48	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $36.31 / $61.66	Professional		$19.50	$36.31	$61.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $93.33	Professional		$57.54	$57.54	$93.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $24.55 / $37.15	Professional		$15.14	$24.55	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $54.95	Professional		$15.49	$30.90	$54.95