Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.63 / $30.21 / $207.67	Facility		$15.63	$30.21	$207.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $24.42 / $60.11	Professional		$13.71	$24.42	$60.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $20.09 / $20.69	Professional		$18.05	$20.09	$20.69
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 $17.25 / $37.11 / $72.06	Professional		$17.25	$37.11	$72.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $16.89 / $21.79 / $43.57	Professional	50	$16.89	$21.79	$43.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,581.82	Facility		$65.90	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $38.38 / $79.26	Professional		$28.08	$38.38	$79.26
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 $13.31 / $29.25 / $65.41	Professional		$13.31	$29.25	$65.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $16.75 / $28.52	Professional		$11.84	$16.75	$28.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $20.09 / $38.77	Professional		$10.90	$20.09	$38.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $64.68 / $64.68	Facility		$55.00	$64.68	$64.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $188.91 / $206.74	Professional		$81.52	$188.91	$206.74
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 $13.08 / $24.95 / $44.40	Facility		$13.08	$24.95	$44.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $29.94 / $57.64	Professional		$13.75	$29.94	$57.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $37.29 / $62.55	Professional		$37.29	$37.29	$62.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $21.13 / $30.16	Professional		$10.76	$21.13	$30.16
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $27.09 / $53.06	Professional		$14.58	$27.09	$53.06