Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.36 / $4,848.00 / $16,125.00	Facility		$76.36	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $70.11 / $207.90	Professional		$54.63	$70.11	$207.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $600.75 / $600.75 / $600.75	Professional	50	$600.75	$600.75	$600.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $75.41 / $93.34	Professional		$75.41	$75.41	$93.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $97.14 / $194.29	Professional		$66.13	$97.14	$194.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $111.39 / $130.50 / $142.72	Professional	50	$111.39	$130.50	$142.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $80.59 / $183.67	Professional		$60.03	$80.59	$183.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $92.15 / $555.00	Facility		$67.59	$92.15	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $92.79 / $195.47	Professional		$65.95	$92.79	$195.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $91.60 / $120.85	Professional		$42.07	$91.60	$120.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $94.23 / $167.03	Professional		$67.09	$94.23	$167.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $475.08 / $488.28	Facility		$55.00	$475.08	$488.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $505.68 / $596.32 / $677.63	Professional		$505.68	$596.32	$677.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $96.30 / $134.41	Facility		$74.45	$96.30	$134.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $99.76 / $203.47	Professional		$67.94	$99.76	$203.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $228.96 / $228.96 / $271.04	Professional		$228.96	$228.96	$271.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $75.73 / $95.50	Professional		$54.69	$75.73	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $81.55 / $198.10	Professional		$62.91	$81.55	$198.10