Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $4,848.00 / $17,054.00	Facility		$48.14	$4,848.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $48.14 / $176.09	Professional		$34.28	$48.14	$176.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $333.00 / $333.00 / $333.00	Professional	50	$333.00	$333.00	$333.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $23.94 / $25.44	Professional		$22.45	$23.94	$25.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $59.29 / $116.92	Professional		$41.04	$59.29	$116.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.19 / $48.75 / $81.36	Professional	50	$40.19	$48.75	$81.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $56.71 / $112.24	Professional		$39.70	$56.71	$112.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $53.96 / $98.30	Professional		$33.89	$53.96	$98.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $44.31 / $140.38	Professional		$32.82	$44.31	$140.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $34.75 / $66.70	Professional		$26.61	$34.75	$66.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $155.58 / $2,922.50	Facility		$55.00	$155.58	$2,922.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $830.02 / $830.02	Professional		$214.00	$830.02	$830.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $41.54 / $76.25	Facility		$31.05	$41.54	$76.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $55.39 / $98.30	Professional		$34.36	$55.39	$98.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $96.20 / $123.85	Professional		$96.20	$96.20	$123.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $115.77 / $200.37	Professional		$29.38	$115.77	$200.37
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $6,323.00	Facility		$510.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $46.59 / $96.15	Professional		$29.68	$46.59	$96.15