Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.64 / $4,436.00 / $16,109.00	Facility		$224.64	$4,436.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $199.80 / $523.09	Professional		$75.58	$199.80	$523.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.33 / $323.33 / $323.33	Professional	50	$323.33	$323.33	$323.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $149.84 / $162.63	Professional		$46.27	$149.84	$162.63
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 $89.13 / $140.28 / $383.47	Professional		$89.13	$140.28	$383.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $132.08 / $259.77 / $324.73	Professional	50	$132.08	$259.77	$324.73
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 $91.32 / $173.03 / $338.34	Professional		$91.32	$173.03	$338.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.01 / $257.63 / $555.00	Facility		$189.01	$257.63	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $182.93 / $428.12	Professional		$76.98	$182.93	$428.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $124.59 / $278.27	Professional		$77.22	$124.59	$278.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $178.42 / $352.08	Professional		$68.33	$178.42	$352.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $466.08 / $473.10	Facility		$55.00	$466.08	$473.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.19 / $1,474.50 / $1,523.16	Professional		$676.19	$1,474.50	$1,523.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.13 / $155.63 / $316.19	Facility		$78.13	$155.63	$316.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $194.36 / $462.43	Professional		$78.61	$194.36	$462.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $228.39 / $228.39 / $604.66	Professional		$228.39	$228.39	$604.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $151.68 / $232.26	Professional		$70.16	$151.68	$232.26
United Facility/Professional Facility Modifier Low / Median / High Price $438.22 / $1,493.00 / $5,830.00	Facility		$438.22	$1,493.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $193.28 / $455.74	Professional		$143.63	$193.28	$455.74