Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,363.00 / $15,877.00	Facility		$365.00	$4,363.00	$15,877.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $353.47 / $910.74 / $2,808.00	Facility	50	$353.47	$910.74	$2,808.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $160.61 / $550.00	Professional		$103.78	$160.61	$550.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.47 / $233.79 / $823.87	Professional	50	$87.47	$233.79	$823.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $118.09 / $152.04	Professional		$57.87	$118.09	$152.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $173.60 / $192.62 / $466.97	Professional	50	$173.60	$192.62	$466.97
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 $106.67 / $157.69 / $310.37	Professional		$106.67	$157.69	$310.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $189.33 / $224.83 / $244.14	Professional	50	$189.33	$224.83	$244.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $151.78 / $311.74	Professional		$106.25	$151.78	$311.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $172.24 / $176.14	Facility		$129.22	$172.24	$176.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $168.73 / $344.18	Professional		$113.67	$168.73	$344.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $171.47 / $233.49	Professional		$125.47	$171.47	$233.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $162.37 / $284.68	Professional		$118.09	$162.37	$284.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $802.02 / $824.76	Facility		$55.00	$802.02	$824.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $853.20 / $1,141.28 / $1,187.25	Professional		$853.20	$1,141.28	$1,187.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $176.14 / $260.43	Facility		$126.72	$176.14	$260.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $178.74 / $377.65	Professional		$117.22	$178.74	$377.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $387.04 / $387.04 / $492.82	Professional		$387.04	$387.04	$492.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $163.40 / $237.33	Professional		$125.47	$163.40	$237.33
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,506.00 / $6,323.00	Facility		$466.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $147.00 / $379.25	Professional		$115.22	$147.00	$379.25