Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.24 / $5,153.00 / $16,196.79	Facility		$1,313.24	$5,153.00	$16,196.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,227.50 / $7,654.67 / $14,745.00	Facility	50	$2,227.50	$7,654.67	$14,745.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $1,146.40 / $2,747.28	Professional		$297.81	$1,146.40	$2,747.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.69 / $2,332.66 / $6,015.33	Professional	50	$220.69	$2,332.66	$6,015.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.85 / $318.16 / $758.98	Professional		$137.85	$318.16	$758.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $206.78 / $209.54 / $847.38	Professional	50	$206.78	$209.54	$847.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,663.00 / $7,070.00 / $14,103.00	Facility		$2,663.00	$7,070.00	$14,103.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.73 / $1,255.06 / $4,220.60	Professional		$437.73	$1,255.06	$4,220.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $461.05 / $2,150.67 / $2,968.66	Professional	50	$461.05	$2,150.67	$2,968.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $372.67 / $1,376.37 / $4,073.80	Professional		$372.67	$1,376.37	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $500.98 / $500.98	Facility		$500.98	$500.98	$500.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.14 / $974.64 / $3,180.83	Professional		$326.14	$974.64	$3,180.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $410.31 / $2,379.54	Professional		$289.64	$410.31	$2,379.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.29 / $981.00 / $2,276.94	Professional		$279.29	$981.00	$2,276.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,968.54 / $1,968.54 / $8,980.00	Facility		$1,968.54	$1,968.54	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,077.16 / $11,617.10 / $11,965.62	Professional		$5,077.16	$11,617.10	$11,965.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,141.82	Professional		$32.34	$32.34	$1,141.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.53 / $685.42 / $2,667.43	Facility		$330.53	$685.42	$2,667.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.93 / $1,256.77 / $3,627.74	Professional		$337.93	$1,256.77	$3,627.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $964.92 / $964.92 / $5,109.93	Professional		$964.92	$964.92	$5,109.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $474.85 / $1,959.63	Professional		$275.70	$474.85	$1,959.63
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,248.11 / $1,969.28 / $4,614.55	Professional		$1,248.11	$1,969.28	$4,614.55