Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.31 / $7,108.00 / $20,135.00	Facility		$135.31	$7,108.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $120.17 / $362.28	Professional		$52.98	$120.17	$362.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.37 / $207.36 / $342.05	Professional	50	$118.37	$207.36	$342.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $72.86 / $72.86	Professional		$72.86	$72.86	$72.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $127.67 / $238.36	Professional		$58.70	$127.67	$238.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.81 / $118.32 / $154.88	Professional	50	$81.81	$118.32	$154.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $128.18 / $254.50	Professional		$66.88	$128.18	$254.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $115.65 / $260.00	Professional		$59.03	$115.65	$260.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $64.48 / $105.89	Professional		$42.07	$64.48	$105.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $84.71 / $150.01	Professional		$52.76	$84.71	$150.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $354.00 / $360.24	Facility		$55.00	$354.00	$360.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $374.24 / $436.43 / $675.70	Professional		$374.24	$436.43	$675.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $89.18 / $164.10	Facility		$53.12	$89.18	$164.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $119.16 / $227.98	Professional		$61.94	$119.16	$227.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $165.24 / $165.24 / $260.20	Professional		$165.24	$165.24	$260.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $65.06 / $106.93	Professional		$47.32	$65.06	$106.93
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $1,533.00 / $7,317.00	Facility		$559.00	$1,533.00	$7,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $114.75 / $321.45	Professional		$65.25	$114.75	$321.45