Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.03 / $5,390.00 / $18,293.00	Facility		$859.03	$5,390.00	$18,293.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.40 / $9.73 / $49.79	Facility	53	$9.40	$9.73	$49.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $58.41 / $235.00	Professional		$43.60	$58.41	$235.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $27.25 / $34.88	Professional		$21.80	$27.25	$34.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,604.00 / $9,596.00	Facility		$1,882.00	$4,604.00	$9,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $93.79 / $174.56	Professional		$65.52	$93.79	$174.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $62.12 / $129.63	Professional		$43.79	$62.12	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $58.45 / $146.52	Professional		$47.79	$58.45	$146.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $45.98 / $62.07	Professional		$42.07	$45.98	$62.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $52.32 / $97.04	Professional		$41.42	$52.32	$97.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $111.95 / $1,300.00	Facility		$55.00	$111.95	$1,300.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $12.21 / $50.00 / $50.00	Facility	53	$12.21	$50.00	$50.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $543.00 / $543.00	Professional		$543.00	$543.00	$543.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $65.98 / $104.88	Facility		$45.13	$65.98	$104.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $58.45 / $135.19	Professional		$48.20	$58.45	$135.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $143.85 / $143.85	Professional		$143.85	$143.85	$143.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $53.05 / $79.58	Professional		$42.07	$53.05	$79.58
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $9,132.00	Facility		$526.00	$1,523.00	$9,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $57.59 / $123.82	Professional		$38.22	$57.59	$123.82