Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $7,585.78 / $19,054.61	Facility		$295.12	$7,585.78	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $346.74	Professional		$46.77	$89.13	$346.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	52	$102.33	$102.33	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $144.54	Professional		$63.10	$77.62	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $194.98	Professional		$58.88	$100.00	$194.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $245.47 / $1,778.28	Facility		$66.07	$245.47	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $194.98	Professional		$56.23	$93.33	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $57.54	Facility		$48.98	$48.98	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $162.18	Professional		$50.12	$83.18	$162.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $102.33	Professional		$37.15	$44.67	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $128.82	Professional		$39.81	$74.13	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $630.96	Professional		$537.03	$630.96	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $104.71	Professional		$63.10	$63.10	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $77.62 / $128.82	Facility		$46.77	$77.62	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $169.82	Professional		$50.12	$83.18	$169.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $223.87	Professional		$151.36	$151.36	$223.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $74.13	Professional		$34.67	$48.98	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,548.82 / $6,309.57	Facility		$575.44	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $154.88	Professional		$40.74	$69.18	$154.88