Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.97 / $6,159.00 / $17,701.00	Facility		$65.97	$6,159.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $66.52 / $139.52	Professional		$50.18	$66.52	$139.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $54.60 / $85.58	Professional		$44.96	$54.60	$85.58
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 $55.84 / $82.04 / $163.87	Professional		$55.84	$82.04	$163.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $90.43 / $101.73 / $114.50	Professional	50	$90.43	$101.73	$114.50
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 $53.47 / $76.38 / $149.22	Professional		$53.47	$76.38	$149.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $77.04 / $147.16	Professional		$51.80	$77.04	$147.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $94.12 / $148.36	Professional		$57.68	$94.12	$148.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $73.23 / $128.15	Professional		$49.49	$73.23	$128.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $340.56 / $352.32	Facility		$55.00	$340.56	$352.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $365.52 / $402.83 / $902.20	Professional		$365.52	$402.83	$902.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.47 / $75.54 / $120.64	Facility		$51.47	$75.54	$120.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $81.96 / $167.96	Professional		$52.79	$81.96	$167.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $168.52 / $168.52 / $225.02	Professional		$168.52	$168.52	$225.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $122.35 / $211.76	Professional		$52.45	$122.35	$211.76
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 $54.22 / $70.44 / $159.19	Professional		$54.22	$70.44	$159.19