Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,897.79 / $15,135.61	Facility		$933.25	$4,897.79	$15,135.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility	50	$15,135.61	$15,135.61	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $218.78 / $758.58	Professional		$64.57	$218.78	$758.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $602.56 / $1,148.15	Professional	50	$165.96	$602.56	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $489.78	Professional		$151.36	$199.53	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	50	$676.08	$676.08	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $398.11	Professional		$85.11	$134.90	$398.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $162.18 / $295.12	Professional	50	$95.50	$162.18	$295.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $380.19	Professional		$70.79	$173.78	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $194.98 / $416.87	Professional		$74.13	$194.98	$416.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $199.53 / $389.05	Professional		$63.10	$199.53	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $213.80 / $416.87	Professional		$56.23	$213.80	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,311.31	Professional		$1,862.09	$1,862.09	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $190.55 / $457.09	Facility		$69.18	$190.55	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $190.55 / $467.74	Professional		$74.13	$190.55	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $741.31	Professional		$229.09	$229.09	$741.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $281.84 / $380.19	Professional		$57.54	$281.84	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $173.78 / $398.11	Professional		$64.57	$173.78	$398.11