Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,897.79 / $15,848.93	Facility		$851.14	$4,897.79	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $1,445.44 / $2,570.40	Facility	50	$794.33	$1,445.44	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $363.08	Professional		$48.98	$89.13	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $134.90 / $436.52	Professional	50	$74.13	$134.90	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $51.29	Professional		$39.81	$43.65	$51.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $117.49 / $257.04	Professional	50	$85.11	$117.49	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $181.97	Professional		$52.48	$89.13	$181.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $109.65 / $158.49	Professional	50	$72.44	$109.65	$158.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $223.87 / $5,888.44	Facility		$64.57	$223.87	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $165.96	Professional		$52.48	$83.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $177.83	Professional		$57.54	$97.72	$177.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $151.36	Professional		$50.12	$74.13	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $100.00 / $194.98	Professional		$45.71	$100.00	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,630.27	Facility		$54.95	$56.23	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $128.82	Professional		$75.86	$75.86	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $169.82	Facility		$53.70	$97.72	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $186.21	Professional		$57.54	$100.00	$186.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $295.12	Professional		$169.82	$169.82	$295.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $109.65 / $141.25	Professional		$45.71	$109.65	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $158.49	Professional		$44.67	$75.86	$158.49