Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,888.44 / $16,595.87	Facility		$1,202.26	$5,888.44	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,000.00 / $1,071.52 / $2,454.71	Facility	50	$1,000.00	$1,071.52	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $346.74	Professional		$100.00	$144.54	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $177.83 / $933.25	Professional	50	$85.11	$177.83	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	50	$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $416.87	Professional		$102.33	$162.18	$416.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $204.17 / $269.15	Professional	50	$144.54	$204.17	$269.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $302.00 / $5,754.40	Facility		$66.07	$302.00	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $346.74	Professional		$100.00	$147.91	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $162.18	Facility		$117.49	$158.49	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $309.03	Professional		$104.71	$147.91	$309.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $234.42	Professional		$131.83	$169.82	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $263.03	Professional		$109.65	$151.36	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,630.27	Facility		$54.95	$56.23	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $186.21	Professional		$112.20	$112.20	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $251.19	Facility		$97.72	$151.36	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $316.23	Professional		$107.15	$154.88	$316.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $436.52	Professional		$380.19	$380.19	$436.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $295.12	Professional		$120.23	$194.98	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,548.82 / $6,309.57	Facility		$549.54	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $257.04	Professional		$91.20	$120.23	$257.04