Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $9,772.37 / $19,952.62	Facility		$912.01	$9,772.37	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $194.98	Professional		$40.74	$60.26	$194.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $95.50 / $95.50	Professional	50	$87.10	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $48.98	Professional		$28.18	$39.81	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $162.18	Professional		$51.29	$83.18	$162.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $66.07 / $109.65	Professional	50	$48.98	$66.07	$109.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $1,778.28	Facility		$66.07	$169.82	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $169.82	Professional		$51.29	$79.43	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $114.82	Professional		$43.65	$66.07	$114.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $141.25	Professional		$38.90	$56.23	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $75.86	Professional		$30.90	$41.69	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,513.56	Facility		$54.95	$56.23	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $61.66	Professional		$37.15	$37.15	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $54.95 / $97.72	Facility		$37.15	$54.95	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $114.82	Professional		$44.67	$67.61	$114.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $151.36	Professional		$120.23	$120.23	$151.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $141.25 / $223.87	Professional		$32.36	$141.25	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,548.82 / $6,309.57	Facility		$575.44	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $100.00	Professional		$32.36	$50.12	$100.00