Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.11 / $4,749.00 / $16,573.00	Facility		$613.11	$4,749.00	$16,573.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $707.56 / $707.56 / $707.56	Facility	50	$707.56	$707.56	$707.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $470.06 / $2,230.89	Professional		$81.54	$470.06	$2,230.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $193.66 / $193.66	Professional		$193.66	$193.66	$193.66
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 $106.08 / $353.42 / $1,244.72	Professional		$106.08	$353.42	$1,244.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $342.01 / $1,620.31	Professional		$90.61	$342.01	$1,620.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.81 / $496.13 / $1,168.84	Facility		$419.81	$496.13	$1,168.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $250.68 / $929.66	Professional		$95.74	$250.68	$929.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $111.14 / $376.00	Professional		$74.09	$111.14	$376.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $227.66 / $433.85	Professional		$86.36	$227.66	$433.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $495.50 / $509.90	Facility		$55.00	$495.50	$509.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.05 / $2,433.13 / $2,506.13	Professional		$1,608.05	$2,433.13	$2,506.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.66 / $234.62 / $467.63	Facility		$97.66	$234.62	$467.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $252.19 / $833.96	Professional		$99.94	$252.19	$833.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $291.67 / $291.67 / $741.27	Professional		$291.67	$291.67	$741.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $103.98 / $321.50	Professional		$75.62	$103.98	$321.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,699.00 / $7,655.00	Facility		$1,120.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $363.47 / $970.98	Professional		$177.24	$363.47	$970.98