Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,041.74 / $15,848.93	Facility		$138.04	$2,041.74	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	50	$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $128.82 / $489.78	Professional		$53.70	$128.82	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $323.59 / $758.58	Professional	50	$154.88	$323.59	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $199.53	Professional		$74.13	$87.10	$199.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	50	$117.49	$117.49	$117.49
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 $51.29 / $79.43 / $213.80	Professional		$51.29	$79.43	$213.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $117.49 / $141.25	Professional	50	$83.18	$117.49	$141.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $1,778.28	Facility		$66.07	$104.71	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $275.42	Professional		$60.26	$131.83	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $213.80	Professional		$54.95	$104.71	$213.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $114.82	Professional		$34.67	$47.86	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $85.11 / $154.88	Professional		$42.66	$85.11	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,548.82	Facility		$54.95	$56.23	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $676.08 / $676.08	Professional		$660.69	$676.08	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $112.20	Professional		$67.61	$67.61	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $91.20 / $173.78	Facility		$48.98	$91.20	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $213.80	Professional		$56.23	$104.71	$213.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $269.15	Professional		$151.36	$151.36	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $89.13	Professional		$36.31	$50.12	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $190.55	Professional		$44.67	$83.18	$190.55