Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,128.61 / $15,848.93	Facility		$891.25	$5,128.61	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $891.25 / $4,786.30	Facility	50	$851.14	$891.25	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $346.74	Professional		$57.54	$123.03	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $288.40 / $1,659.59	Professional	50	$91.20	$288.40	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $218.78	Professional		$60.26	$95.50	$218.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $141.25 / $288.40	Professional	50	$81.28	$141.25	$288.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $616.60 / $5,754.40	Facility		$66.07	$616.60	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $154.88 / $302.00	Professional		$67.61	$154.88	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $257.04	Professional		$67.61	$123.03	$257.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $169.82	Professional		$60.26	$72.44	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $208.93	Professional		$53.70	$112.20	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $19,498.45	Facility		$2,089.30	$2,089.30	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $138.04	Professional		$83.18	$83.18	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $223.87	Facility		$58.88	$114.82	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $245.47	Professional		$67.61	$128.82	$245.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $331.13	Professional		$194.98	$194.98	$331.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $128.82	Professional		$54.95	$83.18	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $213.80	Professional		$53.70	$91.20	$213.80