Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $86.31 / $302.16	Professional		$64.65	$86.31	$302.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $453.24 / $453.24 / $495.30	Professional	50	$453.24	$453.24	$495.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $74.23 / $77.97	Professional		$74.23	$74.23	$77.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,505.00 / $8,976.00	Facility		$1,882.00	$4,505.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $100.92 / $209.31	Professional		$78.28	$100.92	$209.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $94.07 / $122.10 / $153.33	Professional	50	$94.07	$122.10	$153.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $98.76 / $228.47	Professional		$72.56	$98.76	$228.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $90.20 / $161.55	Facility		$56.00	$90.20	$161.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $102.13 / $206.23	Professional		$73.27	$102.13	$206.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $77.31 / $131.88	Professional		$51.01	$77.31	$131.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $102.47 / $172.43	Professional		$68.33	$102.47	$172.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $315.88 / $337.77	Facility		$55.00	$315.88	$337.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $500.24 / $669.60 / $759.68	Professional		$500.24	$669.60	$759.68
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 $80.22 / $104.38 / $147.78	Facility		$80.22	$104.38	$147.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $105.99 / $218.02	Professional		$74.34	$105.99	$218.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $222.04 / $222.04 / $289.36	Professional		$222.04	$222.04	$289.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $76.51 / $122.14	Professional		$57.13	$76.51	$122.14
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $91.45 / $197.82	Professional		$68.04	$91.45	$197.82