Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.10 / $4,429.00 / $16,008.00	Facility		$312.10	$4,429.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $83.14 / $180.00	Professional		$56.94	$83.14	$180.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.51 / $108.51 / $225.04	Professional	50	$108.51	$108.51	$225.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $54.20 / $82.00	Professional		$40.65	$54.20	$82.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $87.03 / $87.03 / $87.03	Professional	50	$87.03	$87.03	$87.03
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 $71.72 / $106.04 / $211.40	Professional		$71.72	$106.04	$211.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.77 / $83.41 / $115.98	Professional	50	$68.77	$83.41	$115.98
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 $56.11 / $75.73 / $169.73	Professional		$56.11	$75.73	$169.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $45.13 / $555.00	Facility		$33.11	$45.13	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $90.38 / $173.86	Professional		$53.56	$90.38	$173.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $70.45 / $137.16	Professional		$54.20	$70.45	$137.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $60.16 / $118.16	Professional		$44.26	$60.16	$118.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $319.02 / $327.72	Facility		$55.00	$319.02	$327.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $383.56 / $417.53 / $425.33	Professional		$383.56	$417.53	$425.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $70.33 / $117.26	Facility		$54.20	$70.33	$117.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $93.18 / $171.42	Professional		$58.40	$93.18	$171.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $193.66 / $210.49	Professional		$193.66	$193.66	$210.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $66.87 / $216.20	Professional		$48.63	$66.87	$216.20
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $5,830.00	Facility		$421.00	$1,495.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $76.02 / $187.28	Professional		$49.24	$76.02	$187.28