Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.77 / $7,146.30 / $19,860.00	Facility		$126.77	$7,146.30	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $126.77 / $445.06	Professional		$86.40	$126.77	$445.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $221.07 / $221.07 / $633.00	Professional	50	$221.07	$221.07	$633.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $615.84 / $615.84 / $615.84	Professional		$615.84	$615.84	$615.84
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 $91.73 / $145.61 / $319.02	Professional		$91.73	$145.61	$319.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.00 / $170.50 / $237.58	Professional	50	$138.00	$170.50	$237.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,619.88	Facility		$66.00	$100.00	$1,619.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $140.03 / $289.56	Professional		$84.74	$140.03	$289.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.72 / $96.58 / $227.54	Facility		$81.72	$96.58	$227.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $141.00 / $334.59	Professional		$89.09	$141.00	$334.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $95.92 / $159.03	Professional		$55.85	$95.92	$159.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $129.49 / $225.17	Professional		$85.04	$129.49	$225.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $395.28 / $419.43	Facility		$55.00	$395.28	$419.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $615.67 / $868.56 / $1,003.50	Professional		$615.67	$868.56	$1,003.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.22 / $129.46 / $198.30	Facility		$83.22	$129.46	$198.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $148.69 / $316.57	Professional		$90.41	$148.69	$316.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $276.14 / $276.14 / $390.35	Professional		$276.14	$276.14	$390.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $87.14 / $160.63	Professional		$55.85	$87.14	$160.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,679.00 / $7,655.00	Facility		$1,031.00	$2,679.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.92 / $138.99 / $392.88	Professional		$94.92	$138.99	$392.88