Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.65 / $6,159.00 / $17,701.00	Facility		$47.65	$6,159.00	$17,701.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $165.16 / $262.49 / $909.30	Facility	50	$165.16	$262.49	$909.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $44.72 / $103.01	Professional		$20.11	$44.72	$103.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $60.44 / $247.41	Professional	50	$14.55	$60.44	$247.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $15.78 / $18.51	Professional		$4.91	$15.78	$18.51
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $12.42 / $20.72 / $27.77	Professional	50	$12.42	$20.72	$27.77
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 $39.92 / $68.66 / $134.69	Professional		$39.92	$68.66	$134.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.12 / $31.68 / $106.50	Professional	50	$26.12	$31.68	$106.50
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 $41.55 / $59.36 / $111.85	Professional		$41.55	$59.36	$111.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $54.49 / $108.62	Professional		$25.49	$54.49	$108.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $31.49 / $53.52	Professional		$21.65	$31.49	$53.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $24.66 / $50.31	Professional		$17.76	$24.66	$50.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $119.25 / $1,300.00	Facility		$55.00	$119.25	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $392.47 / $663.90	Professional		$300.00	$392.47	$663.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $37.75 / $98.26	Facility		$22.69	$37.75	$98.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $53.79 / $108.62	Professional		$27.35	$53.79	$108.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $87.44 / $93.45	Professional		$87.44	$87.44	$93.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $44.14 / $76.40	Professional		$19.68	$44.14	$76.40
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $6,323.00	Facility		$526.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $39.11 / $78.09	Professional		$20.25	$39.11	$78.09