Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.31 / $3,764.00 / $15,747.00	Facility		$358.31	$3,764.00	$15,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $145.25 / $145.25 / $5,103.50	Facility	50	$145.25	$145.25	$5,103.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $191.53 / $716.62	Professional		$62.97	$191.53	$716.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.32 / $161.93 / $574.54	Professional	50	$99.32	$161.93	$574.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $58.34 / $293.49	Professional		$58.34	$58.34	$293.49
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 $84.68 / $111.09 / $263.20	Professional		$84.68	$111.09	$263.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $105.51 / $130.97 / $429.63	Professional	50	$105.51	$130.97	$429.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $308.20 / $766.69	Facility		$97.00	$308.20	$766.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $169.53 / $350.25	Professional		$71.56	$169.53	$350.25
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 $75.08 / $191.98 / $428.70	Professional		$75.08	$191.98	$428.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $80.93 / $389.02	Professional		$58.82	$80.93	$389.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $232.32 / $489.14	Professional		$67.06	$232.32	$489.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $457.41 / $457.41	Facility		$55.00	$457.41	$457.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $928.79 / $2,060.00 / $2,093.33	Professional		$928.79	$2,060.00	$2,093.33
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 $78.12 / $195.94 / $409.63	Facility		$78.12	$195.94	$409.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $193.01 / $493.44	Professional		$76.95	$193.01	$493.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $222.33 / $628.66	Professional		$222.33	$222.33	$628.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $96.44 / $360.47	Professional		$66.83	$96.44	$360.47
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 $154.86 / $224.56 / $439.70	Professional		$154.86	$224.56	$439.70