Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.69 / $3,747.00 / $16,573.00	Facility		$267.69	$3,747.00	$16,573.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $17.54 / $106.02 / $616.42	Facility	52	$17.54	$106.02	$616.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $201.01 / $768.12	Professional		$34.26	$201.01	$768.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $39.68 / $93.35	Professional		$35.52	$39.68	$93.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,343.00 / $8,557.00	Facility		$1,516.00	$4,343.00	$8,557.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $354.16 / $697.98	Professional		$57.25	$354.16	$697.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $137.19 / $418.88	Professional		$38.70	$137.19	$418.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $459.72 / $900.00	Facility		$155.10	$459.72	$900.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $232.10 / $559.41	Professional		$40.81	$232.10	$559.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $205.14 / $346.57	Professional		$38.65	$205.14	$346.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $206.45 / $420.94	Professional		$36.71	$206.45	$420.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $209.80 / $214.45	Facility		$55.00	$209.80	$214.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $135.65 / $141.06 / $141.06	Facility	52	$135.65	$141.06	$141.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $804.40 / $1,565.68 / $1,857.90	Professional		$804.40	$1,565.68	$1,857.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $192.36 / $370.19	Facility		$37.47	$192.36	$370.19
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $237.38 / $585.75	Professional		$42.01	$237.38	$585.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $121.80 / $764.95	Professional		$121.80	$121.80	$764.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $233.53 / $321.10	Professional		$35.04	$233.53	$321.10
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,448.00 / $7,504.00	Facility		$421.00	$1,448.00	$7,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.15 / $251.33 / $569.67	Professional		$174.15	$251.33	$569.67