Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,013.00 / $16,008.00	Facility		$344.00	$4,013.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $94.18 / $332.07	Professional		$57.82	$94.18	$332.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.89 / $132.35 / $457.57	Professional	50	$87.89	$132.35	$457.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $126.85 / $126.85 / $126.85	Professional	50	$126.85	$126.85	$126.85
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 $56.98 / $84.07 / $176.57	Professional		$56.98	$84.07	$176.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $94.97 / $117.82 / $158.16	Professional	50	$94.97	$117.82	$158.16
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 $61.03 / $82.45 / $170.47	Professional		$61.03	$82.45	$170.47
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 $66.30 / $107.52 / $199.51	Professional		$66.30	$107.52	$199.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $89.05 / $147.29	Professional		$65.95	$89.05	$147.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $103.97 / $183.96	Professional		$59.54	$103.97	$183.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $270.97 / $291.98	Facility		$55.00	$270.97	$291.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $2,500.00 / $2,500.00	Professional		$575.00	$2,500.00	$2,500.00
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 $69.90 / $101.01 / $157.12	Facility		$69.90	$101.01	$157.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $113.92 / $234.58	Professional		$67.43	$113.92	$234.58
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 $198.44 / $198.44 / $317.45	Professional		$198.44	$198.44	$317.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $105.03 / $145.41	Professional		$59.92	$105.03	$145.41
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 $74.17 / $106.86 / $218.20	Professional		$74.17	$106.86	$218.20