Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.35 / $3,951.37 / $15,877.00	Facility		$298.35	$3,951.37	$15,877.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $86.68 / $454.46 / $4,122.50	Facility	50	$86.68	$454.46	$4,122.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $188.65 / $741.71	Professional		$71.48	$188.65	$741.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.99 / $394.06 / $473.83	Professional	50	$55.99	$394.06	$473.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $253.54 / $344.80	Professional		$253.54	$253.54	$344.80
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 $87.83 / $135.66 / $295.70	Professional		$87.83	$135.66	$295.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $124.80 / $315.00 / $443.56	Professional	50	$124.80	$315.00	$443.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $175.27 / $355.44	Professional		$87.94	$175.27	$355.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.14 / $104.17 / $245.40	Facility		$88.14	$104.17	$245.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $200.80 / $630.44	Professional		$82.71	$200.80	$630.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $89.64 / $337.04	Professional		$65.90	$89.64	$337.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $232.82 / $448.00	Professional		$76.33	$232.82	$448.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $523.74 / $534.84 / $12,000.00	Facility		$523.74	$534.84	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $915.62 / $1,723.12 / $2,036.70	Professional		$915.62	$1,723.12	$2,036.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $150.52 / $372.45	Facility		$79.09	$150.52	$372.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $203.96 / $601.45	Professional		$83.29	$203.96	$601.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.36 / $251.36 / $757.47	Professional		$251.36	$251.36	$757.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $90.35 / $340.54	Professional		$65.70	$90.35	$340.54
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,528.00 / $7,317.00	Facility		$548.00	$1,528.00	$7,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.74 / $246.62 / $792.65	Professional		$168.74	$246.62	$792.65