Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.40 / $4,976.00 / $16,210.00	Facility		$572.40	$4,976.00	$16,210.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,569.56 / $5,941.00 / $18,553.50	Facility	50	$5,569.56	$5,941.00	$18,553.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $246.82 / $705.32	Professional		$138.03	$246.82	$705.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.56 / $377.10 / $1,936.50	Professional	50	$342.56	$377.10	$1,936.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $248.42 / $553.66	Professional		$76.94	$248.42	$553.66
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $731.21 / $731.21 / $731.21	Professional	50	$731.21	$731.21	$731.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $234.84 / $559.15	Professional		$148.52	$234.84	$559.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $306.01 / $408.79 / $489.25	Professional	50	$306.01	$408.79	$489.25
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 $152.24 / $260.97 / $523.41	Professional		$152.24	$260.97	$523.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $371.72 / $555.00	Facility		$272.70	$371.72	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.85 / $289.14 / $616.20	Professional		$151.85	$289.14	$616.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $224.32 / $417.65	Professional		$145.57	$224.32	$417.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $282.82 / $530.32	Professional		$158.72	$282.82	$530.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $484.00 / $1,070.40 / $1,101.00	Facility		$484.00	$1,070.40	$1,101.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.32 / $2,232.84 / $2,306.53	Professional		$1,138.32	$2,232.84	$2,306.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $259.16 / $444.86	Facility		$136.19	$259.16	$444.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $310.08 / $667.05	Professional		$158.72	$310.08	$667.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $516.78 / $516.78 / $931.52	Professional		$516.78	$516.78	$931.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $238.65 / $330.43	Professional		$164.06	$238.65	$330.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,125.00 / $4,030.00 / $9,682.00	Facility		$2,125.00	$4,030.00	$9,682.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.88 / $278.02 / $686.63	Professional		$215.88	$278.02	$686.63