Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.36 / $6,695.00 / $18,293.00	Facility		$88.36	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $88.62 / $488.00	Professional		$48.28	$88.62	$488.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $113.39 / $133.40	Professional		$99.73	$113.39	$133.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $85.02 / $193.03	Professional		$48.44	$85.02	$193.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.95 / $142.36 / $192.36	Professional	50	$77.95	$142.36	$192.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,596.84	Facility		$65.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $100.00 / $194.85	Professional		$53.08	$100.00	$194.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $99.15 / $240.30	Professional		$52.61	$99.15	$240.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $61.82 / $183.48	Professional		$35.36	$61.82	$183.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $116.69 / $230.81	Professional		$48.29	$116.69	$230.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $222.04 / $237.41	Facility		$55.00	$222.04	$237.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.86 / $871.60 / $1,007.18	Professional		$450.86	$871.60	$1,007.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $83.73 / $178.50	Facility		$49.26	$83.73	$178.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $104.09 / $251.00	Professional		$53.18	$104.09	$251.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.49 / $164.49 / $410.93	Professional		$164.49	$164.49	$410.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $57.98 / $139.09	Professional		$39.61	$57.98	$139.09
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $116.77 / $283.33	Professional		$84.00	$116.77	$283.33