Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.12 / $2,591.00 / $13,916.00	Facility		$149.12	$2,591.00	$13,916.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $466.50 / $489.75 / $2,406.00	Facility	50	$466.50	$489.75	$2,406.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $106.82 / $423.00	Professional		$50.28	$106.82	$423.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.77 / $509.19 / $773.52	Professional	50	$220.77	$509.19	$773.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $269.00 / $269.00	Professional		$269.00	$269.00	$269.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $101.36 / $203.37	Professional		$66.43	$101.36	$203.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.79 / $199.89 / $284.58	Professional	50	$89.79	$199.89	$284.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $107.89 / $223.74	Professional		$62.36	$107.89	$223.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $109.65 / $374.18	Professional		$58.78	$109.65	$374.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $66.13 / $216.59	Professional		$54.73	$66.13	$216.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $154.82 / $292.43	Professional		$55.77	$154.82	$292.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $382.32 / $392.88	Facility		$55.00	$382.32	$392.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $592.67 / $1,116.08 / $1,315.43	Professional		$592.67	$1,116.08	$1,315.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $97.98 / $236.28	Facility		$59.58	$97.98	$236.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $116.79 / $374.18	Professional		$61.24	$116.79	$374.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.63 / $181.63 / $476.16	Professional		$181.63	$181.63	$476.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $69.02 / $218.83	Professional		$48.50	$69.02	$218.83
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $147.61 / $432.84	Professional		$86.74	$147.61	$432.84