Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.99 / $3,160.00 / $13,988.00	Facility		$401.99	$3,160.00	$13,988.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $497.45 / $1,521.94 / $9,416.06	Facility	50	$497.45	$1,521.94	$9,416.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $122.85 / $470.40	Professional		$59.32	$122.85	$470.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.16 / $187.22 / $740.56	Professional	50	$158.16	$187.22	$740.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $109.01 / $194.12	Professional		$95.86	$109.01	$194.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.85 / $146.22 / $184.32	Professional	50	$128.85	$146.22	$184.32
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 $151.00 / $251.13 / $470.92	Professional		$151.00	$251.13	$470.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $143.84 / $174.41 / $355.50	Professional	50	$143.84	$174.41	$355.50
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 $153.02 / $218.60 / $427.89	Professional		$153.02	$218.60	$427.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $113.47 / $555.00	Facility		$83.24	$113.47	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.95 / $158.18 / $371.55	Professional		$98.95	$158.18	$371.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $143.87 / $436.93	Professional		$106.57	$143.87	$436.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $124.75 / $232.32	Professional		$90.72	$124.75	$232.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $732.13 / $1,169.94	Facility		$55.00	$732.13	$1,169.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.94 / $1,700.65 / $3,253.02	Professional		$1,169.94	$1,700.65	$3,253.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.89 / $162.58 / $463.65	Facility		$110.89	$162.58	$463.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $172.16 / $339.08	Professional		$101.50	$172.16	$339.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $322.06 / $322.06 / $330.48	Professional		$322.06	$322.06	$330.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $150.57 / $688.76	Professional		$96.88	$150.57	$688.76
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,495.00 / $6,323.00	Facility		$466.00	$1,495.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $122.98 / $307.32	Professional		$82.87	$122.98	$307.32