Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $5,823.00 / $16,946.29	Facility		$621.00	$5,823.00	$16,946.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,190.63 / $4,190.63 / $4,190.63	Facility	50	$4,190.63	$4,190.63	$4,190.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $201.02 / $500.65	Professional		$117.87	$201.02	$500.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $264.83 / $264.83	Professional		$264.83	$264.83	$264.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $340.28 / $340.28 / $340.28	Professional	50	$340.28	$340.28	$340.28
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 $139.04 / $217.70 / $462.25	Professional		$139.04	$217.70	$462.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $289.41 / $339.31 / $405.40	Professional	50	$289.41	$339.31	$405.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $233.54 / $443.31	Professional		$140.47	$233.54	$443.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.94 / $313.42 / $555.00	Facility		$229.94	$313.42	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $245.23 / $559.47	Professional		$145.68	$245.23	$559.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $226.75 / $354.85	Professional		$150.04	$226.75	$354.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.35 / $244.91 / $451.15	Professional		$151.35	$244.91	$451.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,017.12 / $1,042.56	Facility		$55.00	$1,017.12	$1,042.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.11 / $1,944.83 / $2,416.55	Professional		$1,079.11	$1,944.83	$2,416.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.38 / $245.62 / $399.41	Facility		$153.38	$245.62	$399.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $267.66 / $608.25	Professional		$150.79	$267.66	$608.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $486.14 / $486.14 / $780.67	Professional		$486.14	$486.14	$780.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $239.10 / $328.77	Professional		$156.72	$239.10	$328.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $228.28 / $594.50	Professional		$179.01	$228.28	$594.50