Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,363.00 / $15,877.00	Facility		$344.00	$4,363.00	$15,877.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $999.99 / $1,072.22 / $2,462.17	Facility	50	$999.99	$1,072.22	$2,462.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $122.57 / $288.50	Professional		$99.15	$122.57	$288.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.06 / $195.48 / $937.50	Professional	50	$85.06	$195.48	$937.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $120.27 / $130.78	Professional		$58.12	$120.27	$130.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.55 / $194.55 / $232.94	Professional	50	$194.55	$194.55	$232.94
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 $104.75 / $150.53 / $290.95	Professional		$104.75	$150.53	$290.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $180.63 / $203.21 / $241.12	Professional	50	$180.63	$203.21	$241.12
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 $89.22 / $119.37 / $270.62	Professional		$89.22	$119.37	$270.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.19 / $157.54 / $161.10	Facility		$118.19	$157.54	$161.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $144.68 / $318.88	Professional		$105.03	$144.68	$318.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.04 / $165.15 / $222.95	Professional		$144.04	$165.15	$222.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $159.84 / $285.64	Professional		$114.79	$159.84	$285.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $804.54 / $825.54	Facility		$55.00	$804.54	$825.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $852.40 / $972.90 / $1,199.94	Professional		$852.40	$972.90	$1,199.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.62 / $152.51 / $230.59	Facility		$89.62	$152.51	$230.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $156.99 / $337.16	Professional		$105.20	$156.99	$337.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $381.58 / $381.58 / $433.27	Professional		$381.58	$381.58	$433.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $183.60 / $279.45	Professional		$124.85	$183.60	$279.45
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,493.00 / $5,830.00	Facility		$421.00	$1,493.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $129.50 / $331.46	Professional		$99.57	$129.50	$331.46