Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.56 / $3,989.00 / $15,877.00	Facility		$297.56	$3,989.00	$15,877.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $621.87 / $2,483.94 / $4,941.77	Facility	50	$621.87	$2,483.94	$4,941.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $105.98 / $400.81	Professional		$67.26	$105.98	$400.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.04 / $339.88 / $778.50	Professional	50	$107.04	$339.88	$778.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $46.85 / $100.54	Professional		$46.85	$46.85	$100.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $140.56 / $140.56 / $140.56	Professional	50	$140.56	$140.56	$140.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $83.34 / $164.83	Professional		$59.93	$83.34	$164.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.79 / $104.32 / $138.90	Professional	50	$74.79	$104.32	$138.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $106.16 / $202.63	Professional		$74.31	$106.16	$202.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $70.63 / $1,487.00	Facility		$70.50	$70.63	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $102.47 / $190.22	Professional		$63.47	$102.47	$190.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $69.98 / $104.64	Professional		$55.98	$69.98	$104.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $79.45 / $149.47	Professional		$51.89	$79.45	$149.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $252.70 / $15,000.00	Facility		$240.69	$252.70	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.00 / $1,157.00 / $1,157.00	Professional		$1,157.00	$1,157.00	$1,157.00
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 $60.02 / $88.87 / $143.40	Facility		$60.02	$88.87	$143.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $107.94 / $190.45	Professional		$65.04	$107.94	$190.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $169.95 / $232.46	Professional		$169.95	$169.95	$232.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $79.16 / $113.25	Professional		$50.75	$79.16	$113.25
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 $57.96 / $95.04 / $174.70	Professional		$57.96	$95.04	$174.70