Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $2,988.00 / $15,234.00	Facility		$348.15	$2,988.00	$15,234.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $107.15 / $1,916.63 / $4,122.50	Facility	50	$107.15	$1,916.63	$4,122.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $93.28 / $403.25	Professional		$57.43	$93.28	$403.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.31 / $139.91 / $508.59	Professional	50	$86.31	$139.91	$508.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $110.61 / $110.61	Professional		$110.61	$110.61	$110.61
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $127.22 / $127.22 / $127.22	Professional	50	$127.22	$127.22	$127.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$4,418.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $82.52 / $173.79	Professional		$55.93	$82.52	$173.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.37 / $111.30 / $148.80	Professional	50	$93.37	$111.30	$148.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $4,970.60	Facility		$66.09	$100.00	$4,970.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $81.31 / $161.32	Professional		$56.92	$81.31	$161.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $105.94 / $197.09	Professional		$65.11	$105.94	$197.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $88.01 / $147.46	Professional		$65.19	$88.01	$147.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $103.93 / $182.85	Professional		$59.12	$103.93	$182.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $269.47 / $289.37	Facility		$55.00	$269.47	$289.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $2,750.00 / $2,750.00	Professional		$575.00	$2,750.00	$2,750.00
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 $69.28 / $100.35 / $155.82	Facility		$69.28	$100.35	$155.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $112.00 / $233.76	Professional		$66.59	$112.00	$233.76
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $618.00 / $618.00	Facility		$618.00	$618.00	$618.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $196.04 / $315.05	Professional		$196.04	$196.04	$315.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $103.57 / $143.41	Professional		$59.20	$103.57	$143.41
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,551.00 / $6,323.00	Facility		$570.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $106.92 / $237.78	Professional		$75.04	$106.92	$237.78
United Facility/Professional Professional Modifier 50 Low / Median / High Price $204.69 / $204.69 / $204.69	Professional	50	$204.69	$204.69	$204.69