Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.51 / $65.48 / $503.25	Facility		$35.51	$65.48	$503.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $296.86 / $345.60 / $740.53	Facility	50	$296.86	$345.60	$740.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $48.96 / $136.13	Professional		$31.35	$48.96	$136.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.68 / $77.36 / $379.50	Professional	50	$73.68	$77.36	$379.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $58.91 / $66.97	Professional		$51.98	$58.91	$66.97
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 $35.78 / $53.84 / $102.08	Professional		$35.78	$53.84	$102.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.61 / $51.51 / $100.62	Professional	50	$39.61	$51.51	$100.62
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 $36.65 / $52.35 / $102.40	Professional		$36.65	$52.35	$102.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $81.30 / $145.62	Facility		$56.00	$81.30	$145.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $56.85 / $120.90	Professional		$34.61	$56.85	$120.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $33.61 / $86.87	Professional		$27.18	$33.61	$86.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $60.61 / $119.88	Professional		$25.84	$60.61	$119.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $118.08 / $125.59	Facility		$55.00	$118.08	$125.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $238.13 / $455.28 / $528.29	Professional		$238.13	$455.28	$528.29
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 $30.42 / $50.59 / $95.76	Facility		$30.42	$50.59	$95.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $60.74 / $129.94	Professional		$36.19	$60.74	$129.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $87.76 / $209.18	Professional		$87.76	$87.76	$209.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $38.04 / $87.78	Professional		$25.45	$38.04	$87.78
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 $44.84 / $59.43 / $145.22	Professional		$44.84	$59.43	$145.22