Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $4,466.84 / $15,135.61	Facility		$549.54	$4,466.84	$15,135.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $2,630.27 / $7,413.10	Facility	50	$1,412.54	$2,630.27	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $190.55 / $812.83	Professional		$56.23	$190.55	$812.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $190.55 / $1,096.48	Professional	50	$85.11	$190.55	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $141.25 / $302.00	Professional		$51.29	$141.25	$302.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	50	$158.49	$158.49	$158.49
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 $74.13 / $102.33 / $302.00	Professional		$74.13	$102.33	$302.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $147.91 / $426.58	Professional	50	$81.28	$147.91	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $794.33 / $1,995.26	Facility		$97.72	$794.33	$1,995.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $177.83 / $380.19	Professional		$63.10	$177.83	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $173.78 / $380.19	Professional		$66.07	$173.78	$380.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $407.38	Professional		$51.29	$64.57	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $245.47 / $512.86	Professional		$51.29	$245.47	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $724.44 / $1,698.24	Facility		$56.23	$724.44	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $1,949.84	Professional		$1,698.24	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $331.13	Professional		$194.98	$194.98	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $177.83 / $416.87	Facility		$60.26	$177.83	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $162.18 / $467.74	Professional		$66.07	$162.18	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $575.44	Professional		$194.98	$194.98	$575.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $281.84	Professional		$51.29	$85.11	$281.84
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 $52.48 / $141.25 / $302.00	Professional		$52.48	$141.25	$302.00