Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $341.20 / $959.09	Facility		$61.70	$341.20	$959.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $96.96 / $358.54	Professional		$57.03	$96.96	$358.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $650.03 / $650.03 / $650.03	Professional	50	$650.03	$650.03	$650.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $100.82 / $194.19	Professional		$81.09	$100.82	$194.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $83.20 / $171.78	Professional		$60.64	$83.20	$171.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.51 / $114.81 / $136.35	Professional	50	$87.51	$114.81	$136.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $87.47 / $169.05	Professional		$60.61	$87.47	$169.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $115.61 / $207.07	Facility		$56.00	$115.61	$207.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $97.39 / $188.47	Professional		$64.77	$97.39	$188.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $94.13 / $135.53	Professional		$75.30	$94.13	$135.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $100.79 / $174.69	Professional		$65.23	$100.79	$174.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $293.83 / $323.70	Facility		$55.00	$293.83	$323.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $653.60 / $778.05	Professional		$457.92	$653.60	$778.05
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 $62.98 / $94.35 / $142.56	Facility		$62.98	$94.35	$142.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $102.53 / $208.98	Professional		$66.34	$102.53	$208.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $281.02	Professional		$200.49	$200.49	$281.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $102.65 / $148.77	Professional		$66.36	$102.65	$148.77
United Facility/Professional Facility Modifier Low / Median / High Price $437.82 / $1,493.00 / $5,830.00	Facility		$437.82	$1,493.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $87.48 / $194.29	Professional		$65.78	$87.48	$194.29