Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,248.07 / $15,848.93	Facility		$489.78	$5,248.07	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $87.10 / $2,454.71 / $17,782.79	Facility	50	$87.10	$2,454.71	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $199.53 / $724.44	Professional		$70.79	$199.53	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $295.12 / $478.63	Professional	50	$56.23	$295.12	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $338.84	Professional		$95.50	$147.91	$338.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $218.78 / $446.68	Professional	50	$134.90	$218.78	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $162.18 / $5,754.40	Facility		$66.07	$162.18	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $416.87	Professional		$93.33	$186.21	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $104.71	Facility		$89.13	$89.13	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $501.19	Professional		$83.18	$199.53	$501.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $389.05	Professional		$66.07	$83.18	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $257.04 / $489.78	Professional		$69.18	$257.04	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $19,498.45 / $19,498.45	Facility		$1,995.26	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,041.74	Professional		$1,737.80	$2,041.74	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $338.84	Professional		$204.17	$204.17	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $165.96 / $426.58	Facility		$81.28	$165.96	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $512.86	Professional		$83.18	$199.53	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $758.58	Professional		$251.19	$251.19	$758.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $295.12	Professional		$66.07	$93.33	$295.12
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 $69.18 / $169.82 / $426.58	Professional		$69.18	$169.82	$426.58