Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $3,222.00 / $15,277.00	Facility		$219.62	$3,222.00	$15,277.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $677.30 / $1,431.00 / $7,709.04	Facility	50	$677.30	$1,431.00	$7,709.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $108.57 / $285.25	Professional		$57.59	$108.57	$285.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $276.95 / $927.00	Professional	50	$54.53	$276.95	$927.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $146.00 / $156.65	Professional		$146.00	$146.00	$156.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $219.01 / $219.01 / $219.01	Professional	50	$219.01	$219.01	$219.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,505.00 / $8,976.00	Facility		$1,882.00	$4,505.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $75.84 / $141.61	Professional		$51.63	$75.84	$141.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.24 / $107.71 / $201.32	Professional	50	$82.24	$107.71	$201.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $107.57 / $199.97	Professional		$64.05	$107.57	$199.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.10 / $153.37 / $1,487.00	Facility		$153.10	$153.37	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $121.94 / $236.62	Professional		$62.38	$121.94	$236.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $68.90 / $154.04	Professional		$56.59	$68.90	$154.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $115.86 / $215.32	Professional		$52.32	$115.86	$215.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $237.65 / $254.27	Facility		$55.00	$237.65	$254.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $804.00 / $1,030.00 / $1,030.00	Professional		$804.00	$1,030.00	$1,030.00
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 $59.96 / $111.30 / $189.05	Facility		$59.96	$111.30	$189.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $126.58 / $271.33	Professional		$64.31	$126.58	$271.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $159.34 / $352.89	Professional		$159.34	$159.34	$352.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $79.23 / $155.54	Professional		$51.90	$79.23	$155.54
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,495.00 / $6,920.00	Facility		$510.00	$1,495.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $115.90 / $246.49	Professional		$85.40	$115.90	$246.49