Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $4,363.00 / $16,125.00	Facility		$50.35	$4,363.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $50.29 / $196.00	Professional		$32.96	$50.29	$196.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $68.27 / $282.00	Professional	50	$60.55	$68.27	$282.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $42.43 / $61.62	Professional		$25.22	$42.43	$61.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $71.88 / $83.27 / $92.38	Professional	50	$71.88	$83.27	$92.38
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 $31.45 / $44.55 / $96.82	Professional		$31.45	$44.55	$96.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.82 / $64.05 / $85.18	Professional	50	$47.82	$64.05	$85.18
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 $41.45 / $55.97 / $126.46	Professional		$41.45	$55.97	$126.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.83 / $43.91 / $78.51	Facility		$43.83	$43.91	$78.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $55.61 / $108.95	Professional		$37.97	$55.61	$108.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $35.84 / $70.55	Professional		$28.29	$35.84	$70.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $52.91 / $92.82	Professional		$32.76	$52.91	$92.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $149.85 / $160.22	Facility		$55.00	$149.85	$160.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $364.96 / $409.05	Professional		$245.68	$364.96	$409.05
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 $38.65 / $53.04 / $79.95	Facility		$38.65	$53.04	$79.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $59.51 / $118.54	Professional		$38.99	$59.51	$118.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $113.11 / $158.80	Professional		$113.11	$113.11	$158.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $39.79 / $65.33	Professional		$28.94	$39.79	$65.33
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,323.00	Facility		$545.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $53.04 / $116.69	Professional		$38.08	$53.04	$116.69