Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.07 / $4,436.00 / $16,125.00	Facility		$152.07	$4,436.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $124.10 / $298.10	Professional		$63.78	$124.10	$298.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.91 / $326.91 / $326.91	Professional	50	$326.91	$326.91	$326.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $82.91 / $82.91	Professional		$82.91	$82.91	$82.91
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 $58.56 / $90.17 / $175.54	Professional		$58.56	$90.17	$175.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.78 / $108.94 / $153.51	Professional	50	$82.78	$108.94	$153.51
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 $73.06 / $126.04 / $229.02	Professional		$73.06	$126.04	$229.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $85.91 / $1,487.00	Facility		$85.76	$85.91	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $127.64 / $253.16	Professional		$69.63	$127.64	$253.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $72.81 / $123.06	Professional		$60.32	$72.81	$123.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $90.99 / $168.01	Professional		$55.03	$90.99	$168.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $254.78 / $268.76	Facility		$55.00	$254.78	$268.76
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 $64.37 / $98.91 / $184.98	Facility		$64.37	$98.91	$184.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $136.49 / $235.67	Professional		$72.27	$136.49	$235.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $184.96 / $184.96 / $278.73	Professional		$184.96	$184.96	$278.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $84.96 / $113.93	Professional		$54.77	$84.96	$113.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,699.00 / $7,655.00	Facility		$1,207.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $122.28 / $222.04	Professional		$67.76	$122.28	$222.04