Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.72 / $4,848.00 / $16,713.00	Facility		$195.72	$4,848.00	$16,713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,001.69 / $1,001.69 / $6,863.13	Facility	50	$1,001.69	$1,001.69	$6,863.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $177.30 / $471.99	Professional		$91.02	$177.30	$471.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.48 / $330.11 / $1,279.50	Professional	50	$267.48	$330.11	$1,279.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $193.73 / $284.75	Professional		$163.13	$193.73	$284.75
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 $130.38 / $230.26 / $415.23	Professional		$130.38	$230.26	$415.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $148.08 / $291.94 / $392.97	Professional	50	$148.08	$291.94	$392.97
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 $109.59 / $188.94 / $352.71	Professional		$109.59	$188.94	$352.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.17 / $169.17 / $199.93	Facility		$169.17	$169.17	$199.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $182.48 / $468.20	Professional		$94.33	$182.48	$468.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $100.08 / $296.39	Professional		$77.16	$100.08	$296.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $189.21 / $337.14	Professional		$73.12	$189.21	$337.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $351.60 / $9,102.00 / $11,500.00	Facility		$351.60	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $759.70 / $1,412.32 / $1,675.13	Professional		$759.70	$1,412.32	$1,675.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $162.41 / $308.74	Facility		$84.97	$162.41	$308.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $188.67 / $498.67	Professional		$94.34	$188.67	$498.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $243.80 / $648.91	Professional		$243.80	$243.80	$648.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $105.17 / $224.53	Professional		$66.72	$105.17	$224.53
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 $156.52 / $218.69 / $584.25	Professional		$156.52	$218.69	$584.25