Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $6,606.93 / $18,620.87	Facility		$309.03	$6,606.93	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $169.82	Professional		$50.12	$69.18	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $72.44	Professional		$53.70	$63.10	$72.44
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 $60.26 / $93.33 / $194.98	Professional		$60.26	$93.33	$194.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $102.33 / $141.25	Professional	50	$66.07	$102.33	$141.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $162.18 / $1,778.28	Facility		$66.07	$162.18	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $199.53	Professional		$54.95	$87.10	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $144.54	Professional		$53.70	$77.62	$144.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $141.25	Professional		$53.70	$93.33	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $128.82	Professional		$43.65	$70.79	$128.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $95.50	Professional		$57.54	$57.54	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $75.86 / $125.89	Facility		$48.98	$75.86	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $151.36	Professional		$54.95	$81.28	$151.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $223.87	Professional		$169.82	$169.82	$223.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $141.25 / $223.87	Professional		$44.67	$141.25	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,548.82 / $6,309.57	Facility		$549.54	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $125.89	Professional		$44.67	$63.10	$125.89