Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.08 / $4,848.00 / $16,713.00	Facility		$163.08	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $128.77 / $205.48	Professional		$60.86	$128.77	$205.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $515.17 / $515.17 / $553.48	Professional	50	$515.17	$515.17	$553.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.56 / $200.56 / $204.35	Professional		$200.56	$200.56	$204.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $181.78 / $322.97	Professional		$92.80	$181.78	$322.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.37 / $175.28 / $226.77	Professional	50	$74.37	$175.28	$226.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,455.40	Facility		$66.00	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $142.56 / $269.51	Professional		$79.70	$142.56	$269.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.20 / $104.20 / $123.14	Facility		$104.20	$104.20	$123.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $131.75 / $299.22	Professional		$48.17	$131.75	$299.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $67.39 / $174.89	Professional		$39.25	$67.39	$174.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $105.14 / $201.00	Professional		$37.35	$105.14	$201.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $183.80 / $217.87	Facility		$55.00	$183.80	$217.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.21 / $847.68 / $979.35	Professional		$441.21	$847.68	$979.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $109.42 / $208.31	Facility		$42.76	$109.42	$208.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $133.97 / $302.25	Professional		$48.17	$133.97	$302.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $121.25 / $361.68	Professional		$121.25	$121.25	$361.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $84.98 / $152.96	Professional		$43.49	$84.98	$152.96
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,523.00 / $6,920.00	Facility		$510.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $142.46 / $319.32	Professional		$92.14	$142.46	$319.32