Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,248.07 / $15,848.93	Facility		$645.65	$5,248.07	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $457.09 / $891.25 / $7,079.46	Facility	50	$457.09	$891.25	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $537.03	Professional		$97.72	$151.36	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $371.54 / $891.25	Professional	50	$162.18	$371.54	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $263.03	Professional		$181.97	$239.88	$263.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $186.21 / $478.63	Professional	50	$151.36	$186.21	$478.63
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 $125.89 / $190.55 / $363.08	Professional		$125.89	$190.55	$363.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $199.53 / $302.00	Professional	50	$141.25	$199.53	$302.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $630.96 / $1,778.28	Facility		$66.07	$630.96	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $288.40	Professional		$102.33	$147.91	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $295.12	Professional		$114.82	$154.88	$295.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $204.17	Professional		$91.20	$120.23	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $269.15	Professional		$97.72	$151.36	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $660.69	Facility		$54.95	$56.23	$660.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,202.26	Professional		$977.24	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $199.53	Professional		$120.23	$120.23	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $251.19	Facility		$112.20	$158.49	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $309.03	Professional		$114.82	$158.49	$309.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $426.58	Professional		$346.74	$346.74	$426.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $162.18	Professional		$91.20	$125.89	$162.18
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 $91.20 / $128.82 / $251.19	Professional		$91.20	$128.82	$251.19