Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,576.00 / $17,030.00	Facility		$462.00	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $216.27 / $873.11	Professional		$132.00	$216.27	$873.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,587.00 / $1,587.00 / $1,587.00	Professional	50	$1,587.00	$1,587.00	$1,587.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.22 / $190.22 / $190.22	Professional		$190.22	$190.22	$190.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,706.00 / $13,707.00	Facility		$2,456.00	$6,706.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $216.49 / $503.72	Professional		$127.20	$216.49	$503.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $211.48 / $315.05 / $427.36	Professional	50	$211.48	$315.05	$427.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $221.48 / $476.48	Professional		$147.94	$221.48	$476.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.91 / $230.35 / $542.69	Facility		$194.91	$230.35	$542.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $241.78 / $598.38	Professional		$144.34	$241.78	$598.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $184.16 / $300.29	Professional		$111.69	$184.16	$300.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $235.86 / $411.37	Professional		$145.10	$235.86	$411.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $941.34 / $971.04	Facility		$55.00	$941.34	$971.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $990.88 / $1,539.60 / $1,808.33	Professional		$990.88	$1,539.60	$1,808.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.35 / $222.26 / $352.02	Facility		$145.35	$222.26	$352.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $257.56 / $584.03	Professional		$144.88	$257.56	$584.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $439.08 / $439.08 / $704.75	Professional		$439.08	$439.08	$704.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $186.01 / $303.45	Professional		$135.28	$186.01	$303.45
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $6,920.00	Facility		$545.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.76 / $247.98 / $748.06	Professional		$173.76	$247.98	$748.06