Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.05 / $5,382.00 / $16,573.00	Facility		$113.05	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $114.03 / $297.18	Professional		$90.28	$114.03	$297.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $177.90 / $177.90 / $177.90	Professional	50	$177.90	$177.90	$177.90
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 $101.99 / $143.16 / $286.16	Professional		$101.99	$143.16	$286.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.85 / $189.00 / $226.06	Professional	50	$162.85	$189.00	$226.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $120.06 / $286.07	Professional		$87.77	$120.06	$286.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $131.63 / $1,050.00	Facility		$96.58	$131.63	$1,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $140.63 / $338.43	Professional		$101.30	$140.63	$338.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $147.80 / $192.14	Professional		$121.87	$147.80	$192.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $146.44 / $264.77	Professional		$106.26	$146.44	$264.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $752.34 / $774.12	Facility		$55.00	$752.34	$774.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $799.92 / $1,001.10 / $2,058.05	Professional		$799.92	$1,001.10	$2,058.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.67 / $157.44 / $291.97	Facility		$103.67	$157.44	$291.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.66 / $157.07 / $338.43	Professional		$101.66	$157.07	$338.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $361.74 / $361.74 / $397.80	Professional		$361.74	$361.74	$397.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $152.35 / $228.52	Professional		$115.67	$152.35	$228.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $118.32 / $271.50	Professional		$92.30	$118.32	$271.50