Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.06 / $4,848.00 / $14,699.00	Facility		$814.06	$4,848.00	$14,699.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,234.03 / $7,847.81 / $9,823.89	Facility	50	$2,234.03	$7,847.81	$9,823.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.91 / $418.39 / $1,316.21	Professional		$205.91	$418.39	$1,316.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $308.87 / $740.26 / $2,737.14	Professional	50	$308.87	$740.26	$2,737.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $212.99 / $505.08	Professional		$106.50	$212.99	$505.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $246.88 / $550.15 / $1,442.40	Professional	50	$246.88	$550.15	$1,442.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.35 / $370.07 / $711.52	Professional		$282.35	$370.07	$711.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $305.07 / $379.68 / $731.45	Professional	50	$305.07	$379.68	$731.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,615.58	Facility		$66.00	$100.00	$7,615.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $236.68 / $421.75 / $787.09	Professional		$236.68	$421.75	$787.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $464.60 / $842.66	Professional		$245.75	$464.60	$842.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $275.20 / $745.21	Professional		$195.46	$275.20	$745.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $447.41 / $832.32	Professional		$198.14	$447.41	$832.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.65 / $1,100.65 / $40,000.00	Facility		$1,100.65	$1,100.65	$40,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.13 / $3,135.84 / $3,630.45	Professional		$1,624.13	$3,135.84	$3,630.45
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 $228.61 / $422.82 / $713.81	Facility		$228.61	$422.82	$713.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.77 / $477.94 / $923.98	Professional		$250.77	$477.94	$923.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $727.36 / $727.36 / $1,381.33	Professional		$727.36	$727.36	$1,381.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $320.43 / $613.72	Professional		$197.80	$320.43	$613.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $14,743.00	Facility		$3,459.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.68 / $476.74 / $960.30	Professional		$330.68	$476.74	$960.30