Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,888.44 / $16,595.87	Facility		$1,258.93	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $70.79 / $223.87	Professional		$28.18	$70.79	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $112.20	Professional		$69.18	$95.50	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $186.21	Facility		$32.36	$40.74	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $154.88	Professional		$34.67	$63.10	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $104.71 / $177.83	Professional	50	$45.71	$104.71	$177.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $223.87 / $1,778.28	Facility		$66.07	$223.87	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $144.54	Professional		$42.66	$67.61	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $64.57 / $147.91	Professional		$30.90	$64.57	$147.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $134.90	Professional		$26.92	$33.11	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $89.13 / $177.83	Professional		$25.12	$89.13	$177.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,778.28	Facility		$54.95	$56.23	$1,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $741.31	Professional		$645.65	$741.31	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $123.03	Professional		$74.13	$74.13	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $63.10 / $128.82	Facility		$26.30	$63.10	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $64.57 / $154.88	Professional		$30.90	$64.57	$154.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $269.15	Professional		$95.50	$95.50	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $100.00	Professional		$25.12	$43.65	$100.00
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 $25.70 / $60.26 / $117.49	Professional		$25.70	$60.26	$117.49