Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $15,848.93	Facility		$1,047.13	$4,786.30	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $144.54 / $2,137.96 / $3,801.89	Facility	50	$144.54	$2,137.96	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $208.93 / $812.83	Professional		$63.10	$208.93	$812.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $208.93 / $575.44	Professional	50	$147.91	$208.93	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $208.93 / $346.74	Professional		$72.44	$208.93	$346.74
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 $85.11 / $117.49 / $346.74	Professional		$85.11	$117.49	$346.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $165.96 / $457.09	Professional	50	$93.33	$165.96	$457.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $275.42 / $691.83	Facility		$97.72	$275.42	$691.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $199.53 / $416.87	Professional		$72.44	$199.53	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $190.55 / $407.38	Professional		$75.86	$190.55	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $426.58	Professional		$58.88	$74.13	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $257.04 / $537.03	Professional		$58.88	$257.04	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $776.25	Facility		$54.95	$56.23	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,089.30	Professional		$2,041.74	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $346.74	Professional		$208.93	$208.93	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $194.98 / $436.52	Facility		$67.61	$194.98	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $501.19	Professional		$75.86	$181.97	$501.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $630.96	Professional		$223.87	$223.87	$630.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $302.00	Professional		$58.88	$95.50	$302.00
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 $60.26 / $158.49 / $331.13	Professional		$60.26	$158.49	$331.13