Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $6,516.00 / $18,252.00	Facility		$115.80	$6,516.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $136.05 / $315.27	Professional		$102.09	$136.05	$315.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $915.00	Professional	50	$172.38	$172.38	$915.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $111.07 / $111.07	Professional		$111.07	$111.07	$111.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $169.66 / $169.66 / $169.66	Professional	50	$169.66	$169.66	$169.66
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 $111.86 / $161.60 / $320.82	Professional		$111.86	$161.60	$320.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $163.09 / $191.95 / $250.82	Professional	50	$163.09	$191.95	$250.82
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 $98.39 / $131.97 / $313.58	Professional		$98.39	$131.97	$313.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.13 / $154.19 / $555.00	Facility		$113.13	$154.19	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $154.44 / $347.24	Professional		$110.80	$154.44	$347.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $164.97 / $222.71	Professional		$148.90	$164.97	$222.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $163.79 / $296.47	Professional		$119.13	$163.79	$296.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $838.38 / $858.60	Facility		$55.00	$838.38	$858.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $888.56 / $1,236.02 / $1,597.12	Professional		$888.56	$1,236.02	$1,597.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $158.84 / $239.34	Facility		$102.20	$158.84	$239.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $172.35 / $351.12	Professional		$113.35	$172.35	$351.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $399.05 / $399.05 / $439.92	Professional		$399.05	$399.05	$439.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $183.37 / $281.45	Professional		$129.56	$183.37	$281.45
United Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $1,493.00 / $6,920.00	Facility		$492.00	$1,493.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.79 / $128.18 / $291.97	Professional		$101.79	$128.18	$291.97