Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,888.44 / $16,982.44	Facility		$1,380.38	$5,888.44	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $4,168.69 / $5,888.44	Facility	50	$4,168.69	$4,168.69	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $436.52	Professional		$75.86	$138.04	$436.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $346.74 / $1,288.25	Professional	50	$199.53	$346.74	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Professional		$151.36	$151.36	$162.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	50	$229.09	$229.09	$229.09
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 $128.82 / $223.87 / $426.58	Professional		$128.82	$223.87	$426.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $173.78 / $275.42	Professional	50	$109.65	$173.78	$275.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,000.00 / $5,754.40	Facility		$66.07	$1,000.00	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $316.23	Professional		$91.20	$165.96	$316.23
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 $89.13 / $154.88 / $281.84	Professional		$89.13	$154.88	$281.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $251.19	Professional		$77.62	$131.83	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $288.40	Professional		$72.44	$151.36	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,089.30	Facility		$54.95	$56.23	$2,089.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,096.48	Professional		$954.99	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $147.91 / $251.19	Facility		$83.18	$147.91	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $295.12	Professional		$91.20	$158.49	$295.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $436.52	Professional		$251.19	$251.19	$436.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $162.18 / $223.87	Professional		$70.79	$162.18	$223.87
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 $69.18 / $123.03 / $239.88	Professional		$69.18	$123.03	$239.88