Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $10,000.00 / $19,952.62	Facility		$338.84	$10,000.00	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $134.90	Professional		$28.18	$50.12	$134.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $53.70 / $56.23	Professional	50	$53.70	$53.70	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $50.12	Professional		$41.69	$48.98	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $37.15 / $93.33	Facility		$29.51	$37.15	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $144.54	Professional		$35.48	$61.66	$144.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $128.82	Professional		$37.15	$61.66	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $74.13	Professional		$29.51	$39.81	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $52.48 / $93.33	Professional		$27.54	$52.48	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $436.52	Professional		$323.59	$436.52	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $54.95 / $91.20	Facility		$32.36	$54.95	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $109.65	Professional		$46.77	$46.77	$109.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $162.18	Professional		$107.15	$107.15	$162.18
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 $28.84 / $47.86 / $112.20	Professional		$28.84	$47.86	$112.20