Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.98 / $6,695.00 / $18,252.00	Facility		$59.98	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $59.97 / $157.46	Professional		$43.36	$59.97	$157.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.90 / $94.47 / $94.47	Professional	50	$86.90	$94.47	$94.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $25.43 / $71.38	Professional		$25.43	$25.43	$71.38
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 $50.09 / $72.36 / $139.46	Professional		$50.09	$72.36	$139.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.42 / $64.80 / $109.50	Professional	50	$53.42	$64.80	$109.50
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 $48.37 / $69.09 / $136.35	Professional		$48.37	$69.09	$136.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $65.41 / $121.43	Professional		$42.00	$65.41	$121.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $56.21 / $147.88	Professional		$41.64	$56.21	$147.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $45.32 / $85.15	Professional		$34.06	$45.32	$85.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $246.18 / $250.98	Facility		$55.00	$246.18	$250.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $291.30 / $884.15	Professional		$264.24	$291.30	$884.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $53.82 / $97.25	Facility		$40.02	$53.82	$97.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $68.98 / $120.09	Professional		$43.52	$68.98	$120.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $120.29 / $151.55	Professional		$120.29	$120.29	$151.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $121.97 / $211.09	Professional		$37.17	$121.97	$211.09
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 $36.40 / $56.26 / $129.40	Professional		$36.40	$56.26	$129.40