Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.28 / $3,747.00 / $13,488.00	Facility		$858.28	$3,747.00	$13,488.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,878.96 / $1,878.96 / $1,878.96	Facility	52	$1,878.96	$1,878.96	$1,878.96
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $2,433.60 / $2,433.60 / $2,433.60	Facility	53	$2,433.60	$2,433.60	$2,433.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $221.36 / $723.20	Professional		$81.18	$221.36	$723.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $87.00 / $180.66	Professional		$70.06	$87.00	$180.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,549.00 / $9,244.00	Facility		$1,787.00	$4,549.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $137.97 / $479.38	Professional		$83.57	$137.97	$479.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $220.24 / $461.02	Professional		$93.32	$220.24	$461.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.06 / $730.06 / $730.06	Facility		$730.06	$730.06	$730.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $251.49 / $522.14	Professional		$94.65	$251.49	$522.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $237.90 / $374.68	Professional		$92.56	$237.90	$374.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $202.90 / $382.08	Professional		$83.30	$202.90	$382.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $482.10 / $493.70	Facility		$55.00	$482.10	$493.70
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $306.41 / $329.08 / $329.08	Facility	52	$306.41	$329.08	$329.08
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $76.59 / $82.27 / $82.27	Facility	53	$76.59	$82.27	$82.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $620.48 / $1,582.00 / $1,832.25	Professional		$620.48	$1,582.00	$1,832.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $183.69	Professional		$32.34	$32.34	$183.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.36 / $192.36 / $349.59	Facility		$84.36	$192.36	$349.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $257.42 / $586.25	Professional		$101.16	$257.42	$586.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $289.33 / $289.33 / $867.58	Professional		$289.33	$289.33	$867.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $224.40 / $356.85	Professional		$74.75	$224.40	$356.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,121.61 / $2,699.00 / $8,345.00	Facility		$1,121.61	$2,699.00	$8,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.20 / $293.77 / $797.84	Professional		$207.20	$293.77	$797.84