Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $6,423.00 / $17,809.00	Facility		$37.09	$6,423.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $37.56 / $122.81	Professional		$30.03	$37.56	$122.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $38.38 / $144.28	Professional	50	$19.19	$38.38	$144.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $33.61 / $37.65	Professional		$15.69	$33.61	$37.65
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 $33.00 / $50.93 / $111.48	Professional		$33.00	$50.93	$111.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.43 / $66.20 / $71.13	Professional	50	$56.43	$66.20	$71.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $43.04 / $100.00	Professional		$31.12	$43.04	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $48.03 / $98.85	Professional		$33.13	$48.03	$98.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $60.49 / $139.44	Professional		$40.31	$60.49	$139.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $46.56 / $82.82	Professional		$33.86	$46.56	$82.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $233.64 / $238.08	Facility		$55.00	$233.64	$238.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $821.00 / $821.00	Professional		$420.00	$821.00	$821.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $51.56 / $79.92	Facility		$40.53	$51.56	$79.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $50.59 / $102.47	Professional		$34.31	$50.59	$102.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $113.77 / $137.82	Professional		$113.77	$113.77	$137.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $115.00 / $199.03	Professional		$36.65	$115.00	$199.03
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $6,323.00	Facility		$510.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $42.35 / $104.09	Professional		$32.52	$42.35	$104.09