Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.66 / $4,004.48 / $14,970.00	Facility		$345.66	$4,004.48	$14,970.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,410.52 / $2,605.48 / $5,940.00	Facility	50	$1,410.52	$2,605.48	$5,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $177.66 / $725.96	Professional		$54.79	$177.66	$725.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.33 / $183.62 / $835.00	Professional	50	$83.33	$183.62	$835.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $109.66 / $287.39	Professional		$49.71	$109.66	$287.39
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 $73.70 / $97.45 / $248.73	Professional		$73.70	$97.45	$248.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $114.49 / $406.01	Professional	50	$91.74	$114.49	$406.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $881.91 / $2,193.84	Facility		$96.60	$881.91	$2,193.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $150.12 / $315.94	Professional		$62.42	$150.12	$315.94
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 $65.79 / $175.83 / $393.45	Professional		$65.79	$175.83	$393.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $71.04 / $366.12	Professional		$51.38	$71.04	$366.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $218.66 / $459.71	Professional		$58.92	$218.66	$459.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $429.16 / $1,700.00	Facility		$55.00	$429.16	$1,700.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $871.44 / $1,679.92 / $1,965.90	Professional		$871.44	$1,679.92	$1,965.90
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 $68.63 / $176.51 / $385.51	Facility		$68.63	$176.51	$385.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $173.96 / $464.00	Professional		$67.93	$173.96	$464.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.84 / $194.84 / $573.51	Professional		$194.84	$194.84	$573.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $84.23 / $339.25	Professional		$58.66	$84.23	$339.25
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 $141.22 / $204.54 / $404.69	Professional		$141.22	$204.54	$404.69