Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $2,055.00 / $8,348.00	Facility		$156.56	$2,055.00	$8,348.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $952.79 / $4,652.00 / $8,750.64	Facility	25	$952.79	$4,652.00	$8,750.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $163.82 / $581.00 / $809.45	Professional	25	$163.82	$581.00	$809.45
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $168.04 / $404.85 / $833.56	Professional	25	$168.04	$404.85	$833.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $2,827.00 / $17,110.00	Facility		$1,225.00	$2,827.00	$17,110.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $735.88 / $735.88 / $3,141.80	Facility		$735.88	$735.88	$3,141.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $202.43 / $4,684.00	Facility		$202.43	$202.43	$4,684.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $183.22 / $247.35	Professional		$108.08	$183.22	$247.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $222.99 / $489.20	Professional		$164.90	$222.99	$489.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $388.60 / $388.60 / $830.92	Facility		$388.60	$388.60	$830.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.83 / $206.76 / $288.63	Facility		$168.83	$206.76	$288.63
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $167.72 / $182.00	Facility		$165.00	$167.72	$182.00