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 $786.53 / $3,110.00 / $5,682.00	Facility	50	$786.53	$3,110.00	$5,682.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $212.93 / $400.87	Professional		$149.84	$212.93	$400.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $296.58 / $324.68 / $1,019.56	Professional	50	$296.58	$324.68	$1,019.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $170.21 / $170.21	Professional		$170.21	$170.21	$170.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $195.11 / $195.11 / $517.69	Professional	50	$195.11	$195.11	$517.69
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 $136.00 / $225.13 / $502.73	Professional		$136.00	$225.13	$502.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $207.42 / $246.31 / $327.93	Professional	50	$207.42	$246.31	$327.93
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 $163.41 / $233.45 / $488.82	Professional		$163.41	$233.45	$488.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.64 / $310.29 / $555.00	Facility		$227.64	$310.29	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $233.38 / $404.68	Professional		$148.71	$233.38	$404.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $198.82 / $268.41	Professional		$155.21	$198.82	$268.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $178.94 / $325.64	Professional		$129.22	$178.94	$325.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $877.26 / $898.56 / $12,000.00	Facility		$877.26	$898.56	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $930.16 / $1,061.09 / $1,466.09	Professional		$930.16	$1,061.09	$1,466.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $197.06 / $335.66	Facility		$133.97	$197.06	$335.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $245.05 / $425.89	Professional		$153.62	$245.05	$425.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $418.93 / $418.93 / $528.33	Professional		$418.93	$418.93	$528.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $221.01 / $334.40	Professional		$141.13	$221.01	$334.40
United Facility/Professional Facility Modifier Low / Median / High Price $472.49 / $1,493.00 / $5,830.00	Facility		$472.49	$1,493.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.21 / $196.19 / $406.45	Professional		$130.21	$196.19	$406.45